This article discusses the management of pediatric patients with failing kidney transplants in UK-based renal units. The study found that there is no consensus on the definition of graft failure for those who do not pursue further kidney replacement therapy. The survey revealed heterogeneity in the management of failing kidney transplants, with no center having a protocol for this specific situation. The study highlights the need for evidence-based guidance and further research to investigate the variation in practice and its impact on patient outcomes. [Extracted from the article]