Renal artery hypoplasia is a relatively rare condition in childhood causing renovascular hypertension. We present a case of hypoplasia of the proximal two thirds of the right renal artery, and almost normal distal third of the renal artery as well as normal parenchymal branches managed with hypogastric autoarterial conduit. We discuss conduit options and technical considerations when dealing with this delicate condition in paediatric population.