Renal transplantation is well established as a life-altering and liberating intervention for patients who are dialysis-dependent. However, obesity is often a barrier to transplantation, and is associated with an increased risk of graft failure and other complications. A retrospective analysis was performed at a single quaternary centre, covering 5 years of patients referred to a state-wide public Bariatric service for special consideration of weight-loss surgery as an adjunct to being listed for renal transplantation. Of the 16 patients referred, 13 opted to proceed, and 12 have undergone weight-reduction surgery. 75% (9/12) have gone on to successful renal transplantation, and the remaining 25% are listed awaiting an appropriate donor. 83.3% (10/12) successfully met their weight target within 12 months of their surgery with a mean BMI reduction of 13.39±4.19, which is comparable to non-dialysis cohorts in the literature, while the remaining two patients both had a BMI reduction >11 and underwent successful transplantation. Within the overall cohort of patients, only one had a notable morbidity event within 30 days of bariatric surgery or their transplant. This suggests that weight-loss surgery in the context of dialysis and potential renal transplantation may see significant benefit without an unacceptable level of risk.