Purpose of Review: To review the current studies and guidelines on the risk of adverse pregnancy outcomes in female kidney donors. Recent Findings: Living kidney donors include a significant number of women of child-bearing age. Safety and possible risks of pregnancy after donation are a concern for female kidney donor candidates. Some studies indicate a higher risk of preeclampsia, gestational hypertension, and preterm birth in women after kidney donation. Considering the increasing prevalence of living kidney donors, maternal and fetal outcomes following living kidney donation are an active area of research. Summary: Guidelines and consensus statements on the risk of pregnancy in living kidney donors recommend close monitoring of blood pressure, weight gain, and proteinuria during pregnancy. Current studies indicate an increased risk of hypertensive disorders of pregnancy in living kidney donors. Counseling and informing donor candidates about the possible risks is important.