SummarySex chromatin counts performed on the endothelial cells of 40 human kidneys transplanted to recipients of the opposite sex showed that the donor endothelium had persisted except in three poorly functioning and severely damaged grafts. In these a high proportion of the endothelial cells in peritubular capillaries and veins were derived from the host. Endothelial repopulation of organ allografts probably occurs only after severe tissue injury, and it cannot explain the phenomenon of graft adaptation. Repopulated endothelium may be derived from circulating cells.records of the sex of the donor and the recipient. The donor sex was readily confirmed by an examination of arterial smooth muscle cells, where sexual differentiation is very obvious.Most of the sections were examined without previous knowledge of the sex of the donor or the recipient. Between 300 and 1,000 endothelial cells were counted from the arteries, peritubular capillaries, vasa recta, and veins from each specimen. Sex chromatin body counts on glomerular endothelium were attempted in only three cases of special interest, for, though they can be seen in normal female glomeruli, nuclear irregularity is very common and confusion with epithelial and mesangial cells is bound to make the counts unreliable. Control values for the frequency of sex chromatin bodies were established in the sexmatched grafts and from earlier results (Sinclair, 1972) in six normal kidneys.