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Donor feces, also referred to as fecal microbiota transplantation (FMT), is a biological therapeutic intervention consisting of a complex community of gut microbiota (bacteria, fungi, and other microorganisms) derived from healthy donors. Developed and studied by the Academic Medical Center (AMC) in Amsterdam, particularly in the context of the FECAL trial, it is used to treat recurrent *Clostridioides difficile* infection (rCDI). The therapy works by restoring microbial diversity and balance in the recipient's gastrointestinal tract, specifically increasing *Bacteroidetes* species and *Clostridium* clusters IV and XIVa while suppressing the overgrowth of *C. difficile*. It is typically administered via a duodenal or nasoduodenal tube following pre-treatment with vancomycin and bowel lavage.
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