Kidney transplant is the preferred treatment option for chronic renal failure; a disease in which the incidence is increasing every year. Graft survival and patient survival has been improved in comparison with before. This improving partly dependent to technique and partly to advance in immunosuppressive drugs. Incision is important in multiple standpoints including: cosmetic, pain, complication. Herein we compare two techniques of incision (Oblique and j) with each other. 60 kidney recipients in two groups (every group 30 patients selected as consequence of admission).in group one of kidney recipients the traditional incision hockey stick incision and in group two pelvic Gibson incision were carried out. Post operation pain of patient and cosmetic appearance and bulging of abdomen (relaxation of abdomen ) and hernia in one year post operation were considered. In group one there was one case with hernia and cosmetic appearance was not good and there was three case with widening scar, in group two cosmetic appearance was good and there wasn’t hernia also pain was less than in group one. In conclusion, the outcome of oblique incision is better than hockey stick in cosmetic appearance and pain and hernia relaxation of abdomen.