Lymphocele is a fluid collection between the renal graft and the urinary bladder and it is a known complication after kidney transplantation (KTx). In this retrospective study we explore the incidence, clinical presentations, and outcome of lymphocele in renal recipients. 684 patients (399 males and 285 females), aged 3 – 76 years, received renal allograft from 493 living and 191 cadaveric donors. 73 of recipients were under the age of 18 years, and the procedure was re-transplantation in 40 patients. Diagnosis of lymphocele was made basically by ultra sound examination, and symptomatic collections were drained either per cutaineously or into the peritoneal cavity. 68 instances of lymphocele were diagnosed at 2 weeks to 9 months after transplantation, in 40 male and 28 female recipients. Kidney grafts were obtained from 45 living and 23 cadaveric donors. 6 patients were children, and the procedure was re-transplantation in 3 patients. Lymphocele presented clinically as pelvi-abdominal swelling alone (45 cases), or as a swelling associated with manifestations of ureteric and/or venous compression (21 cases). Per cutaneous drainage was attempted in 34 cases and it gave permanent cure in 14 cases. Intraperitoneal drainage was performed in 48 recipients, as a primary procedure in 28 and in 20 cases of recurrence after percutaneous aspiration. The remaining 6 cases were treated conservatively. All cases of lymphocele were successfully treated with no graft loss. Lymphocele is an uncommon complication after renal transplantation, and it is formed during the early post transplantation period. Its incidence in the present series is similar to what reported in literature. While the incidence was more common following cadaveric transplantation, it was not influenced by recipient gender, age or transplant number. Percutaneous aspiration has a high rate of recurence and intraperitoneal drainage is the most effective management.