Background: A rapid increase of End Stage Renal Disease (ESRD) compares to the limited number of donors aggravated organ shortages and led to a longer waiting time for Deceased Donor Kidney Transplantation (DDKT). Methods: To mitigate the situation and suggest alternatives, the current status of waiting time for first- DDKT, re-DDKT and simultaneous pancreas-kidney transplantation (SPK) along with its prognostic factors were analyzed. A total of 2,776 DDKT patients, who registered on Korean Network for Organ Sharing (KONOS) through Seoul National University Hospital (SNUH) from January 1st 2000 to December 31st 2018, were assessed in this study. A statistical analysis performed by using SPSS. Results: As of December 31st 2018, a total of 2,776 were registered for deceased donor kidney transplantation and 672 successful kidney transplant recipients were classified into three groups; First-DDKT (616, 91.6%), Re-DDKT (14, 2.1%) and SPK (42, 6.3%). Mean age was 45,7 ± 16.7 and males were 403 (60%). The ABO blood type distribution was fairly even considering regional characteristics; A 234 (34.8%), B 189 (28.1%), AB 99 (14.7%), O 150 (22.3%), respectively. The average waiting period of transplantations was 42 months and blood type O (P < 0.01) was an independent risk factor for long waiting time for DDKT; blood type A 44 months, B 41 months, AB 39 months, and O 45 months. The waiting period of each five years showed a certain trend that it has significantly increased after 2010: Within 155 patients who registered from 2000 to 2004, 132 (85%) transplantation has completed with an average waiting period of 63 months and 23 (14%) patients are still waiting for the donors with an average waiting period of 126 months. For 437 patients in the next five years, from 2005 to 2009, 234 (54%) transplantation has completed with an average waiting period of 62 months and 203 (46%) patients are still waiting for the donors with an average waiting period of 126 months. There was a drop in the speed of the transplantation after 2010; 1,074 patients, who registered between 2010 and 2014, 286 (27%) transplantation has completed with an average waiting period of 30 months and 788 (23%) patients are still waiting for the donors with an average waiting period of 77 months. The trend has continued on the recent group; 1,109 patients, who registered between 2015 and 2018, 20 (2%) transplantation has completed with an average waiting period of 6 months and 1,098 (98%) patients are still waiting for the donors with an average waiting period of 23months. Conclusions: This study has shown that the kidney transplantation took forty-two months in average from the registration until the operation and the waiting time for DDKT has been extended since 2010. Therefore, Extended Criteria Donor (ECD) should be recommended for risky groups such as old registrants with blood type of O.