Ashley McIntyre, 25, discovered Danny Robinson, 25, was on dialysis treatment and was in need of an organ donor.
She turned out to be the the perfect match in more ways than one.
On Christmas Day, he proposed and she accepted. The two are now expecting a baby in June
Their story is also highly unusual for the fact only one per cent of living kidney donations are from strangers.
Overall in Kentucky last year, there were 135 kidney transplants, 33 involving living donors - so the couple's transplant was likely to have been one of the only live donations between strangers across the state.
He had been diagnosed at 16 with IgA nephropathy, which occurs when an antibody lodges in the kidneys, causing inflammation that gradually damages kidney function.
Family members offered to donate their kidneys but no one matched and so he spent two years on the transplant waiting list.
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