Transplant pharmacists have been recognised as an essential part of the transplant team by their colleagues along with several governing and professional organisations. The specific education, training and responsibilities of the transplant pharmacist have not been clearly delineated in the literature. Various pharmacists across the country have been called upon to serve on the transplant team necessitating standardisation of their fundamental and desirable activities. Therefore, the purpose of this paper (prepared on behalf of the American Society of Transplantation Transplant Pharmacy Community of Practice and the American College of Clinical Pharmacy) is to describe the training and role of a transplant pharmacist on the patient care team and provide a road-map to implementation of novel transplant pharmacy services.