Highlights ■ The return to work rate was 53.7%, with slower and lower reintegration among low-income recipients. ■ Individuals with higher socioeconomic status (Classes A and B) were over twice as likely to return to work compared with lower socioeconomic status. ■ Higher stigma scores were significantly associated with reduced quality of life in Functional Capacity, Mental Health, and Social Functioning domains (p<0.001). ■ Older age (≥51 years), racial disparities, and unemployment before transplantation were strong barriers to occupational reintegration. […]