The purpose of this study is to determine if an assigned physical fitness program will result in weight loss to prepare patients for kidney transplant.

The goal of this study is to prepare subjects for kidney transplant. Patients who are in need of a kidney transplant but are unable to be place on the wait list due to weight will be enrolled in a six month workout program. The workout program will consist of counseling from a registered dietician, personal training from certified trainers and constant health monitoring.

Inclusion Criteria:

• Adult patients over 18 years of age and older but less than 65
• All patients who are currently listed as "inactive" on the University of Chicago kidney transplant wait list
• Those with a body mass index of 40-44
• Those with access to the Internet
• Have transportation to the fitness center (Formula Fitness Center at Union Station location)

Exclusion Criteria:

• Those patients who are listed "inactive" on the wait-list due to co-morbid conditions other than obesity
• Those who are unwilling to attend fitness center appointments
• Those who do not have adequate transportation to the fitness center
• Those who do not have access to the Internet
• Those who are not comfortable navigating and using the Internet