We reviewed the incidence of de novo malignancy in renal transplant recipients who received their grafts between 1979 and 1989, and had at least two years of graft function. Multiple attempts were made to contact 236 patients who were then surviving, or, in whom the medical history could be validated prior to death. There were 94 successful contacts, among whom 19 patients (20.12%) had developed 30 malignant lesions. There were 24 instances of skin and 6 of non-skin malignancy. Squamous cell carcinoma of the skin was the most common new malignancy observed.