Successful living related simultaneous pancreas-kidney transplant between identical twins. 
Simultaneous pancreas-kidney transplant from living donors has been recently proposed as an effective therapeutic option in selected uremic patients with type I diabetes.  We report the first simultaneous pancreas-kidney transplant performed between identical twins.  Posttransplant, the recipient has been maintained on low dose cyclosporine to avoid recurrent auto-immune insulitis.  At the 1-year follow-up, both donor and recipient are well with normal renal function and excellent glucose control.  Simultaneous pancreas-kidney transplant between identical twins can be performed successfully using cyclosporine to prevent recurrent auto-immune insulitis.