This document is intended for those engaged in the care of kidney transplant  recipients (KTR) who are non-experts. With increasing efforts to deliver healthcare  locally many renal transplant recipients are followed up in centres remote from the  main surgical transplant unit. At the same time transplantation medicine has evolved  into an increasingly complex and specialised field of nephrology. The following  guidelines reflect this alteration in clinical practice and are intended for those  healthcare professionals who look after renal transplant patients. They are also  intended to be useful to both medical and surgical trainees as well as nurse specialists  and other associated healthcare professionals involved in the care of renal transplant  patients.