RESUMEN
Renal transplantation is a successful and widely accepted treatment for patients with chronic renal failure [CRF]. Patient and graft survival continued to show better results secondary to improved surgical techniques and potent immunosuppressive drugs. Nevertheless, technical and infectious problems continued to contribute to the morbidity and mortality of renal transplant recipients. This paper presents the way we managed renal transplant recipients who experienced unique and uncommon operative and post operative surgical complications. Anuria secondary to neglected broken double [J] ureteric catheter, aneurysm of renal artery, complete rupture of renal artery and complete rupture of renal vein due to venous hypertension were managed successfully. In conclusion, renal transplant recipients need close observation and regular follow up. Prompt decision making and rapid and wise intervention are necessary to circumvent major complications that may jeopardize renal graft and threaten patient's life can save both of them