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Anatly

Kidneys: anatomy, structure and function

Also called: kidney, renal anatomy

Quick answer

The kidneys are a pair of bean-shaped organs that lie behind the peritoneum on either side of the spine at about T12 to L3. They filter blood, regulate fluid, electrolyte and acid-base balance and produce urine, which drains through the ureters to the bladder. The renal arteries branch directly from the aorta.

Key facts

LocationRetroperitoneal, either side of the vertebral column; the right kidney lies slightly lower than the left because of the liver.
StructureRenal cortex and medulla, renal pyramids, minor and major calyces, renal pelvis, hilum; nephrons as the functional unit.
FunctionFilters blood, regulates fluid and electrolytes, excretes waste, produces erythropoietin and renin, activates vitamin D.
Blood supplyRenal arteries from the abdominal aorta; renal veins drain to the inferior vena cava.
InnervationRenal plexus, mainly sympathetic (T10-L1).
3D model of the kidneys shown with nearby bones

3D model: BodyParts3D (CC BY 4.0), adult male reference anatomy. Highlighted structure shown with nearby bones for context.

About the kidneys

The kidneys receive about a fifth of cardiac output. The adrenal glands sit on top of each kidney within the same renal fascia.

Clinical relevance

Frequently asked questions

Where are the kidneys located?

Retroperitoneally on either side of the spine, at roughly the T12 to L3 levels.

What is a nephron?

The functional unit of the kidney, consisting of a glomerulus and a tubule.

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