HORSESHOE kidney is considered to be one of the more common congenital urological anomalies, with an incidence of 1:300 to 1:1,800.1Most individuals with a horseshoe kidney survive to old age without complications. The use of such kidneys for renal transplantation has been generally avoided because of their frequent anomalous vasculature, occasional association with other renal anomalies, and a predisposition to urine stagnation, infection, and calculus formation. We could find only one previous report of a renal transplant of a horseshoe kidney.2We report here another case of a horseshoe kidney used for renal transplantation into two recipients. Report of a Case The donor was a 21-year-old man who died following a motorcycle accident. He had no history of urinary tract disease. His BUN level was 12 mg/dL; serum creatinine level, 1.0 mg/dL; urine volume, 100 mL/hr. Urine culture had no growth, and urinalysis results were within normal