We report on a successful experience of procuring and transplanting en bloc paired cadaver kidneys (sized 5.0 cm and 4.5 cm) from a 6-month-old brain dead infant. The transplant recipient was a 16-year-old female adolescent weighing 42 kg who had good graft survival of 2 years since then. The follow-up ultrasonographys showed no evidence of hydronephrosis, urine leakage or stenotic anastomosis, but did show the graft kidneys growing to 11.1 cm and 10.1 cm by the l5(superscript th) postoperative month. En bloc pediatric kidney transplantation could decrease the difficulty in vascular anastomosis as well as the possibility of postoperative complications such as vasospasm, renal vein thrombosis and subsequent anastomosis stricture.