The aim of the report is to present successful surgical treatment of aneurysm of common iliac artery (CIA) and internal iliac artery (IIA) in a kidney transplant patient. The aneurysm of CIA and IIA, causing arterial hypertension, was diagnosed and treated surgically in a 47-year-old male patient, who had received a cadaveric kidney transplant 14 years before. During the operation, consisting of aorto-femoral unilateral grafting with transplanted kidney artery implantation to the side of the graft and aneurysm exclusion, cold Ringer's lactate perfusion was used to protect the transplanted kidney. There were no postoperative complications; the transplant function is satisfactory in a follow-up of 44 months. Exclusion of CIA and IIA aneurysm using aorto-femoral unilateral graft is an effective way of treatment in kidney transplant patients. The cold perfusion during aortic cross-clamping is an effective and simple method of transplanted kidney protection.