The rate of grief and mortality from the medical conditions in end-stage of heart, liver, and kidney disease are expanding in individuals with HIV. Presence of HIV infection as a conflict to transplantation for numerous reasons concerns for immunosuppressant use of a limited supply of donor organs with unknown long-term outcomes and, the risk of viral transference to the surgical and medical staff. This session briefs the clinical concerns combine with the treatment of renal transplant with HIV.