Mazzeffi M, et al. - Herein, a cohort of adult kidney transplant patients was examined to characterize the associations between intraoperative red blood cell (RBC) transfusion, delayed graft function (DGF), postoperative surgical site infection (SSI), and sepsis. Intraoperative RBC transfusion during kidney transplant was not shown to be related to improved allograft function or incisional SSI, but was associated with postoperative sepsis. For improving graft outcomes, RBCs should not be liberally transfused during kidney transplant surgery.