Our center is the first and only dedicated pediatric transplantation service in Egypt. Thetransplantation program started in 2009 and involved living-related transplantations. Donor and recipient evaluation, preparation and post-operative follow-up are arranged through the transplantation clinic. Perioperative management, including a dedicated transplantation critical care and single rooms for immunocompromised patients, is arranged between the transplantation team, nephrology unit and related services.