 The prevalence of chronic allograft nephropathy, CAN, in live related renal transplants was found to be 25.6% with a median time to the appearance of CAN of 9 months after transplantation. The majority of cases belong to moderate degree or grade 2 CAN. Serum creatinine at the time of discharge was found to be a useful predictor of later development of chronic changes in the allograft. This article was authored by Hamid Khan, Muhammad Mubarak, Tahir Aziz, and others.