Results after 46 renal transplants from living donors more than 50 years old are presented. There were no complications after transperitoneal nephrectomy and renal function remained stable in all donors. The mean followup for transplant recipients was 6.2 years. The 2-year patient and graft survival rates were 76.1 and 60.9 per cent, respectively, while the corresponding 5-year rates were 60.5 and 46.5 per cent, respectively. These results suggest that age per se should not eliminate living related kidney donation.