A main issue in handling the CRF patients is to control the cardiovascular disease. This dilemma continues even after kidney transplantation as CVD and atherosclerosis are the main cause of morbidity and mortality in this population. This study aims to assess the atherosclerosis in a group of kidney transplant recipients and it’s correlates. We measured carotid intimal-media thickness (CIMT) as a powerful indicator atherosclerosis, and other laboratory and other findings in the candidates of kidney transplantation, prior to the transplantation and compared them to a healthy control group. The relationship between the measures and CIMT were investigated. P value of less than 0.05 considered as significant. The mean±sd for CIMT in transplant recipient was 0.78±0.18 mm which was significantly higher than normal population (0.55±0.05 mm, p<0.001). the mean of plasma tHCY, folic acid vitamin B12, LDL and were significantly higher in transplant recipients. In this group the level of Hgb was significantly lower. Systolic and mean blood pressure as well as pulse pressure was also higher in transplant recipients. Among these; Vitamin B12 (r=0.537), tHcy (r=0.373), Hgb (r=-0.269) and LDL (r=0.233) were significantly associated with elevated measure of CIMT. The findings here are in accordance to other observations which has demonstrated a significant incidence of atherosclerotic and cardiovascular events in ESRD patients. Attention to correct the modifiable risk factors may benefit the morbidity and mortality.