The first child born to a renal transplant patient who was the first woman undergone a renal transplant from her identical twin celebrated his 53th birthday on March 10, 2009. Since this first experience, over 14,000 births among women with transplanted organs have been reported worldwide and several more also not reported. Pregnancy is now considered a frequent part of women after organ transplantation. However, substantial gaps remain in our knowledge about pregnancy in the transplant recipient and its effects on the mother and child. As well, several ethical concerns have been raised about the wisdom of pregnancy for a woman with a proportionally lower life span with expected medical complications. In this review article we tried to address all issues related to pregnancy after renal transplantation.<br />