To present the outcomes of the living related renal transplantation over last two decades in one of the first center in which renal transplantation was started in Saudi Arabia.
Method and Material: Retrospective review of the medical charts for all the patients who had underwent living related renal transplantation from April 1979 to the end of 2005 in Riyadh Armed Forces Hospital. Out of 734 patients had renal transplant, 452 patients had living donor renal transplantation. Mean age of the recipients was 34 years, 66% male, 96% has primary renal transplantation. There was no mortality among the donors. The 4-years graft survival rate was 81%, while the 4-years patient survival was 94%. We also review the complications after renal transplant in our series. Living related renal transplant in Riyadh Armed Forces Hospital is highly successful and its results are comparative with international results. Living related renal transplant is considered the primary option for the patients with end stage renal disease in the countries where cadaveric graft is very scarce.