Psychosocial evaluations before renal transplant (Tx) are critical to investigate variables that affect the health, readiness, and long-term graft survival of pediatric patients and their ability to adapt to medical changes within their surrounding social determinants of health. Currently, there is no standardized protocol to evaluate psychosocial factors before Tx or predict Tx outcomes for pediatric patients. In 2017, our center implemented a modified version of the Society for Transplant Social Workers Psychosocial Assessment Tool for Potential Organ Transplant Recipients. The objective is to see if this adult-focused tool is beneficial to evaluate psychosocial factors pre-Tx and predict Tx outcomes for pediatric patients.