*Purpose: To evaluate the impact of a Latinx clinic in our institution. With a growing increase of end stage renal disease (ESRD)in the Latino population we opened a clinic with a focus on providing care to Latino patients and their families. The clinic addresses commonly shared cultural values, beliefs, and misconceptions of this population while simultaneously providing information to meet the clinical needs of ESRD patients along with education and recruitment of potential living kidney donors in order to improve Latino access to transplant-related healthcare. The clinic is staffed by a Spanish speaking team of a nurse coordinator, an administrative assistant/scheduler, a financial advisor, and a transplant surgeon. Interpreters are also present to facilitate communication between the rest of the staff and non-English speaking patients.

*Methods: This is a retrospective chart review study to evaluate waitlist data from our own institution. We compared the number of Hispanic/Latino patients in our institution the year prior to opening the Latinx clinic and the year after. Interaction terms and Wald Chi-square tests were used to estimate differences in transplant rate. In all data sources, race/ethnicity was self-reported.

*Results: Comparing the number of patients in 2018 prior to the inclusion of the Latinx Clinic to the same group in 2019. The first year after its opening, there was a 125% increase in the number of Latinx referrals for kidney transplant evaluation (28 in 2018 vs 63 in 2019) and a 142% increase in the number of waitlisted Latinx patients (12 in 2018 vs 29 in 2019), there was an increase in kidney transplants of 145% (11 in 2018 vs 27 in 2019). The number of living donor kidney transplants (LDKT) in Latinx patients increased from 1 in 2018 to 4 in 2019.

*Conclusions: With the increasing number of patients in the Latino community who are diagnosed with ESRD, there is a direct benefit for a culturally competent program that addresses access to transplantation.

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