Despite the improvement of results of graft and patient survival in kidney transplantation many aspects of it remains unsolved. Our purpose was to study results of the kidney transplantation in Azerbaijanian patients at the different neighbouring countries. We retrospectively reviewed the clinical outcomes of previously kidney transplanted patients in the outside of Azerbaijan. All patients were under the evaluation at the Med service Medical Centre. We identified 102 patients, who underwent kidney transplantation outside of the Azerbaijan between June, 2000 and July, 2008. All patients were Azerbaijanian citizen. 88 were transplanted in different transplant centres at Iran, 2 were transplanted in Pakistan, 6 were transplanted in Turkey, 6 were transplanted in Russia. All patients had organs from the living donors, while 57 patients were male, 47 patients were female patients. Mean age of the patients were 42+/-11.3 years .While in 35 patients primary cause of chronic renal failure (CRF)was glomerulonephritis, in 30 patients was pyelonephritis , in 11 patients was diabetes, in 9 patients was hypertonia, remaining 17 patients CRF was unknown aetiology. Induction immunosuppressive therapy was available in 56/ 102 patients. Remaining patients’ data is not well documented. Complications were mainly infectious, which 12 patients had got potentially life-threatening one. At last follow-up, mean serum creatinine level was 1.45+/-0.24 mg/dl, episodes of acute rejection had occurred in 31/102. 12 /102 grafts failed due to acute rejection and 80/102 were alive. In conclusions, kidney function and graft survival were not good after overseas kidney transplantation. Although quality of the overseas transplant centre was main factor, other problems like incomplete preoperative preparation, states of donor organs condition had great impact on postoperative complication and graft survival.