This review of nutritional care of the solid organ transplant candidate describes the incidence and causes of malnutrition in these individuals. Combining subjective and objective nutrition assessment techniques is crucial in determining nutritional status and formulating a plan of care. Pretransplant issues of bone disease, dyslipidemia, and obesity can have serious nutrition implications as well. Early identification of nutritional compromise, aggressive intervention, and ongoing follow-up can minimize further deterioration and possibly prevent the development of posttransplant complications. By maintaining or improving the nutritional status of pretransplant patients, the goal is to positively effect short- and long-term posttransplant clinical outcomes.