Beetz O, Weigle CA, Nogly R, et al. - Through retrospectively reviewing all 2,386 kidney transplantations at the institution from January 2005 until December 2018, researchers sought to examine the incidence of surgical complications in pediatric recipients with an emphasis on risk factors and effects on graft outcome. Of these, 221 transplants were conducted in pediatric recipients, defined as under the age of 18 years. The leading cause for revision were vascular complications like thrombosis or stenosis, which were significantly more frequent in case of young donors, prior nephrectomy, and en‐bloc grafts, followed by postoperative hemorrhage, ureteral complications, and lymphoceles. Excellent long‐term results are obtained by pediatric kidney transplantation. However, for early detection and treatment of imminent vascular complications, meticulous surgical technique and continuous postoperative monitoring are crucial, particularly in case of young donors and en‐bloc grafts.