The increase in kidney transplant activity in Spain in recent years has relied on acceptance of organs from increasingly older donors and donation after circulatory death (cDCD). This has triggered Concerns about outcomes achieved with these elderly cDCD. A single-ceter retrospective study evaluated 87 cDCD-kidney transplant recepients (KTrs), 46 from donors ≥65 years of age and 41 from <65 years, and 126 brain death donors (DBD) KTrs from donors ≥65 years of age. Short and medium-term graft survival from elderly cDCD kidneys were excellent and comparable to those from young cDCD and elderly DBD kidneys. Donor characteristics exhibited no influence on 3-year recipient survival.