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This pamphlet explains what to expect after you have a radical kidney removal (radical nephrectomy). A radical nephrectomy is a surgery to remove one kidney, the tissues around the kidney, your adrenal gland and nearby lymph nodes (if needed). Topics include how to get ready for this surgery, medications, what to bring to the hospital, incision care, eating and drinking, discomfort, activity, emotional support, and follow-up care.