Children, due to their physiological characteristics, the effectiveness of kidney transplantation cannot be evaluated only based on the presence or absence of symptoms of uremia and the need for dialysis, but it is also required to ensure good growth and development of the child’s body after kidney transplantation. However, the height of these children in adulthood is still lower than their peers, which may cause difficulties for these children to return to society due to their short stature, for example, school-age children may be affected to go to school or advance to higher education, adolescent children may have inferiority complex in front of the opposite sex and affect normal interaction with the opposite sex, and adults In adulthood, this may affect marriage, employment, or obtaining a car driver’s license. Factors that affect growth after kidney transplantation in children include age at transplantation, the amount of steroid hormones used, and the function of the transplanted kidney. Regarding the effect of age at transplantation, past studies have concluded that children generally grow significantly faster after kidney transplantation under the age of 7 years, and that height growth is limited after kidney transplantation at ages older than 12 years despite good function of the transplanted kidney. Therefore, in order to achieve faster growth and development in children after kidney transplantation, kidney transplantation should be performed as early as possible and at a younger age. Regarding the use of steroid hormones, because steroid hormones have an inhibitory effect on growth hormone and pubertal sex hormone secretion, which can affect the growth and development of children, it is advisable to use low dose maintenance or change to alternate day dosing for steroid hormones after kidney transplantation in children. Some studies have shown that after the discontinuation of steroid hormone treatment in children, there is an excellent effect on growth and development, but at the same time, 30% of them have rejection reactions, which is a problem to be considered. Recently, foreign countries have been actively promoting the use of growth hormone therapy after kidney transplantation, but growth hormone has the effect of activating T cells, and 27% of children who used growth hormone after kidney transplantation had rejection reactions leading to renal function damage, so the risk of causing acute rejection reactions cannot be denied. It is now believed that for children with uremia who have entered puberty, growth hormone can be applied at the same time as hemodialysis treatment to make the body grow to the height of or close to the height of people of the same age as soon as possible before kidney transplantation, which may reduce the growth and development problems caused by the use of hormones after kidney transplantation.