A retrospective analysis was performed on 33 pediatric renal transplants performed over last 8 years. The mean age and weight at the time of transplantation was 12.5 +/- 3.86 years and 28.75 +/- 9.04 kg, respectively. Twenty-six children were boys and 7 were girls. Thirteen children had underlying glomerular disease and 17 had tubulointerstitial disease. All transplants were living related except two, which were from deceased donors. The median duration of hemodialysis and peritoneal dialysis before transplantation were 2.75 and 4 months, respectively. The most common posttransplant complication was urinary tract infection. Immunosuppression medications in the majority included cyclosporine, azathioprine, and corticosteroids. Actuarial graft survivals at 1, 3, and 5 years were 94%, 90%, and 82%, respectively.