To study the renal Transplantation outcomes in the patients, that received kidney from kidneey donor with multiple renal vessels the receipient were followed for 16 years. In a 16 years period (1989-2005), 1000 renal transplantation was carried out at our center. In 28 cases the transplanted kidney had multiple renal vessels. The patients had been followed up for average of 8 years. Serum creatinine level, vascular complications, graft survival and patient survival had been studied. In 3 cases grafted kidneys had 3 arteries and one vein, 3 cases had 2 arteries and 2 veins, one case had 2 arteries, one vein and 2 ureters and finally 21 cases had 2 arteries and one vein. The mean cold ischemic time was 78 minutes (50-143). The surgical technique employed, Included: 1-Anastomosis of graft arteries and veins followed by anastomosis of common trunk to recipient iliac artery and vein.2- Anastomosis of graft arteries or veins separately to recipient iliac vessels. No venous or arterial thrombosis occurred. 4 cases developed acute rejection managed successfully with Antithymocyte Globulin (ATG). No graft loss was seen. Mean creatinine level was 1.4 mg/dl. 2 patients were expired due to sepsis and myocardial infarction. The grafted kidneys functioned normally in both cases at the time of death. Multiple arteries or veins had no adverse effect on graft survival. Hence due to shortage of organ donors, Using kidneys with multiple vessels are justified.