In this episode we had the honor and privilege to talk to Camille Kotton, a world-renowned expert in BK nephropathy. The fabulous recent International Consensus Guidelines have been a breakthrough in this field, and we will talk about all the new approaches and recommendations described in them, including how to screen for BK nephropathy, how to act when screening is positive, when to do a biopsy, and different strategies of changing immunosuppression. We’ll also be talking about very difficult situations, like taking care of BK nephropathy in patients with high immunological risk and the odd case where a patient might have BK nephropathy and rejection at the same time. Be sure not to miss this gem of transplantation education.