Nothing, you will survive! Many people are born with only one kidney; the left kidney being more absent than the right.
The single kidney will grow faster and grow bigger than a paired kidney. This makes the single kidney larger and heavier making it more vulnerable to injury. Therefore one has to be very careful in regards to physical activity such as boxing, football, soccer, etc.
In conclusion, if you are born with one kidney you do not need to fret! The only thing you need to do is be careful and visit your doctor yearly (urine test & blood pressure).
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