KIE: Two doctors urge the use of transplant procedures in the treatment of end stage renal disease in children for those children and families whose quality of life is apt to be improved by it but suggest restraint in those whose psychosocial status has demonstrated deterioration. They recommend that parents and physician work together with a child psychiatrist to explain medical problems to children and to translate their responses into the medical system of decision making; the option of no further treatment other than supportive care should be offered to children with extremely poor quality of life.