To understand the role that information communication technology (ICT) might play in addressing the informational and decision-making needs of live kidney donors and recipients, a comprehensive literature search was conducted to identify studies that describe the features of technological support used by living kidney donors and recipients and their perspectives on this technology. We searched MEDLINE, EMBASE, PsycINFO and CINAHL databases and reviewed articles from 2000 through August 2014. Descriptive synthesis was used to analyse the findings and group the technologies into information, communication, decision-making and account management tools. The use of websites for information and social-networking sites for communication were the key technologies in current use to support donors and recipients. We note a lack of decision-making tools and specific support for the live donor kidney transplantation (LDKT) decision process. We offer a set of recommendations, which combines the technologies and features identified in the review with additional features to address the identified gap. These recommendations can be used by health organisations and system developers to extend existing or design new ICT systems that can help live kidney donors and recipients by increasing their awareness about live kidney donation, improve psychosocial support, and assist in the difficult LDKT decision-making process.