Objective：To summarize the recent clinical experience of kidney transplantation using kidney donation after cardiac death（DCD），and to investigate the efficacy of patients with end-stage renal disease（ESRD） receiving kidney transplant and the top-level design. Methods：The clinical data of ESRD patients receiving DCD kidney transplantation from October 2011 to September 2013 were retrospectively analyzed. Results：All operations were successful. Renal function of 17 recipients（73.91%） and 4 recipients （17.39%） returned to normal on 5-7 d and 8-10 d respectively after the surgery；but the other 2 recipients experienced delayed re－covery and accepted the hemodialysis treatment. During the follow-up of 3 months to 2 years，1 recipient died of severe pul－monary infection. Conclusion：Kidneys from DCD donors have excellent outcomes and may represent another method to safely ex－pand the donor pool，and the good top-level design is a powerful guarantee to carry out the DCD.