It has been observed in several eastern and western countries that there was a gender imbalance in kidney donors. In the international experience approximately 65% of live kidney donors have been females. We studied retrospectively the female to male ratio for kidney donors and recipient from 1980 – 2005. 198 living related kidney transplantation were performed for Omani recipients during this period. In order to look for cultural influences, transplantations performed to expatriates were excluded from the study. For the whole period 98 out of 198 donors (49.5%) were females. The female recipient was 75 out of 198 (38%) and male recipient were 123 (62%). We then sub-divided the period in to three intervals: 1980 till 1990, 1991 till 2000 and 2001 till 2005. The numbers of female and male donors for these three periods were 29/64 (45%), 35/64 (55%); 42/89 (47%), 47/89 ( 53%); 27/45 (60%), 18/45 (40%) respectively. There is a persistent preponderance of male recipients from 58 – 66% for these periods. We conclude that there was no gender imbalance for the kidney donors, yet there is some male preponderance in the recipient group.