Standard surgical techniques were modified to allow continued perfusion of a renal allograft during resection of a large symptomatic abdominal aortic aneurysm. Neither hypothermic perfusion nor temporary bypass were employed. No alteration in renal function was observed and the patient remains well. Complex methods of renal allograft protection are probably unnecessary when transplant recipients undergo aortic reconstruction. However simple modifications or technique can substantially reduce renal ischaemic time and further add to the safety of the procedure.