As part of the leadership series of podcast episodes, this episode discusses life as a pediatric kidney transplant director. Dr. Jodi Smith, Seattle Children's transplant director and ASPN president, Dr. Gina Barletta, Phoenix Children's transplant director, and Dr. Sarah Kizilbash, co-host and University of Minnesota transplant director, talk about why and how they got to be transplant director, their program's structure, strengths, weaknesses and the greatest joys of their job.  For more information about the ASPN transplant interest group, check out this link https://aspneph.org/transplant-interest-group/ or email jodi.smith@seattlechildrens.org For information about UNOS, check out the calendar of events https://optn.transplant.hrsa.gov/news/calendar-of-events/  For UNOS requirements to become a transplant physician, check out this link https://optn.transplant.hrsa.gov/media/2785/membership_requirements-for_pediatric_components.pdf