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This study aims to assess the results of kidney retransplantations and the survival of second kidney allografts performed in our center. Methodology: of 550 kidney transplantations performed since July 2001, 26 were second kidney transplants. Many recipients were sensitized. All patients were treated with the same immunosuppressive regimen. Results: grafts were functionally effective in all patients with kidney retransplantations one month after the transplant. Graft survival was 100% after one year (17/17) and after five years (1/1). Graft survival was similar for second and primary kidney transplants performed during the same period of time. There were three cases of acute rejection, but all of these cases responded to the anti-rejection treatment. Conclusions: the rate of acute rejection was similar for both second and primary transplantations in our hospital, and the second graft outcome demonstrated effectiveness 12 months after transplantation.