Barriers in access to kidney transplantation (KT) for Hispanic patients with advanced chronic kidney disease (CKD) are often attributed to spoken languages different from those of their health care providers. Effective communication, however, is not limited to language, and involves consideration of social context and background; if successful, it can lead to better engagement. Understanding patients’ perspectives on communication and engagement with their providers regarding KT may inform clinical practice, and this was the objective of the present study.