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This study has been undertaken with a view to note the incidence of skin diseases in renal allograft recipients, to study the clinical spectrum of skin disorders and correlation between dose, duration, regimen of immunosuppressive protocol and incidence of skin infections, inflammatory diseases and malignancies. Fifty consecutive unselected kidney transplant recipients attending transplant clinic at a tertiary health care centre between September 2005 and August 2006 were evaluated for presence of skin diseases. Detailed dermatological history was obtained and examination of skin lesions including their morphology, number, size, shape, surface, distribution, pigmentation and configuration was carried out in all fifty patients. We concluded that skin diseases are common in renal transplant recipients due to side effects of immunosuppressive drugs as well as prolonged immunosuppressed state. Cushingoid features due to steroid therapy are the most common cutaneous manifestations. They are common in early post -- transplant period, are dose related and tend to improve when steroids are reduced to maintenance dosages. Gingival hyperplasia and hypertrichosis are common in patients on cyclosporine. Hypectrichosis is cosmetically troublesome in female patients, it is reversible with gradual dose reduction. There is high incidence of skin infections; superficial fungal infections are the most common and the incidence is higher in patients on maintenance immunosuppression as compared to patients who are in first post transplant year, and those who receive Mycophenolate mofetyl and triple immunosuppression. Both dose as well as duration of steroid treatment contribute to skin infections. There is no correlation between absolute neutrophil count and skin infections. Diabetes mellitus, MMF based or triple drug regimen and lymphopenia contribute to dissemination and refractoriness of fungal infections. HPV induced warts are the most common viral infections ; the frequency and number of warts increase with duration of transplant. [ABSTRACT FROM AUTHOR]