Emergency surgeries in solid-organ transplant patients fare worse at non-transplant centers, particularly for kidney transplants.

• Among 2,679 cases, 30-day mortality was 4%, with 31% facing complications or mortality.
• Kidney transplant patients showed 3.52 times higher mortality at academic centers compared to transplant centers.

Urgent surgical care for transplant patients should prioritize treatment at transplant centers to improve outcomes.

• The composite of complications or mortality was significantly higher at non-transplant centers across all organ types.