Because of the inadequacy of donors, kidneys previously considered to be unsuitable are nonvascular re­construction technique, the occurrence of surgical complications, graft function after 1,3,6 and 12 month of transplantation, graft loss and the patients’ death. In our center, the prevalence of transplantation with MRA was 3.3%. Mean ages of research subjects and controls were 38.8 and 40.8 years (P = 0.27), respectively. No significant differences were noted in the sex of the recipients, age and sex of the donors, donor source, recipients body mass index (BMI) at the time of transplantation, causes of ESRD, occurrence of complications, vascular re­construction technique, warm ischemic times, systolic and diastolic blood pressures(after 1,3,6 and 12 month of transplantation), number of transplantation and immunosuppression regimens. Furthermore, there were no significant differences regarding GFR between both groups after 1, 3, 6 and12 months. The mean cold ischemic time in MRA group was significantly higher than control group (21.9 ± 6.6 versus 19.8 ± 6.2; P = 0.007). No significant differences in one year patient and graft survival rates were seen between two groups (P = 0.7, 0.3, respectively). These findings indicate kidney trans­plantation using grafts with multiple arteries are safe and result in acceptable patient and allograft outcome. Thus, the employ of live donor allografts with MRA is recommended for routine use.