The most common cause of rejection after transplant is non-adherence. Can we predict who is likely to be adherent? Can we identify modifiable risk factors and intervene? What are some easy pre-transplant interventions that might increase adherence post-transplant? The research is slim, so after reviewing it, Miriam Kaufman (a self-described nurse-paediatrician) will discuss what she learned in her years of practice with young people and their families.