Renal Transplantation for Children-Reply

In Reply.—  Mauer et al make a strong case for increased patient survival rates with renal transplantation. There is plenty of data to support this, and in our commentary we state that transplantation is the treatment of choice for endstage renal disease.They also note that the majority of their patients would dispute our statement that the "quality of life of transplant recipients is not ideal." Having served as members or consultants to several transplant teams for children and/or adults, our experience as psychiatrists clearly has been different from that of Mauer et al. We find that patients frequently provide considerably different information to different physicians depending on the questions asked. Often they do no describe depressed or angry feelings until they are asked or given the time and opportunity to express themselves freely.The four references cited by Mauer et al do not describe interviews in sufficient depth to