Significance Cardiovascular disease is the major cause of death in kidney transplant recipients. Methods to better define, describe and modify cardiovascular risk factors in this population are essential. Ambulatory blood pressure monitoring allows us the best method to better define our at-risk population, to better understand the relationship of HTN in kidney transplant recipients and end-organ consequences and to define appropriate surrogate markers. There is also a role for using specific medication classes that have been shown to reestablish a more normal circadian BP pattern in monitored patients. Utilization of ABPM, in this population has the potential to advance medical research and to decrease morbidity and mortality in kidney transplant recipients.