Post-transplant kidney recipient monitoring has dramatically changed in the last few years. The addition of gene expression profiling with TruGraf kidney and ddcfDNA assessment augmented with infectious disease tracking with TRAC provides clinicians with cutting edge tools. But what happens when these two tests disagree with one another? The Chair of the Department of Transplantation and Liver Surgery at Geisinger Health System and a Professor of Surgery at Geisinger Commonwealth School of Medicine,