Inclusion Criteria:

• Age ≥ or = to 18 and < or = to 75
• Hematology Service and the Departments of Pathology and Clinical Chemistry at Memorial Sloan-Kettering Cancer Center. Standard diagnostic criteria for multiple myeloma will be used, as per the International Myeloma Foundation consensus guidelines.
• Patients must have symptomatic multiple myeloma without advanced organ damage (such as multiple fractures or advanced bone disease causing immobilization, renal failure, spinal cord compression, or organ compromise due to soft tissue plasmacytoma). If immediate therapy with radiation and high-dose steroids (eg, for cord compression) or with bortezomib-based therapy (eg, for renal failure) is required, the patient is not eligible for this trial.
• Adequate organ function is required, defined as follows:
• ANC ≥ or = to 1,500/μl and platelets≥ or = to 100,000/μl (unless low ANC and platelets are due to multiple myeloma)
• Serum bilirubin ≤ or = to 2.0 mg/dl
• AST, ALT and alkaline phosphatase < 3 times the upper limit of laboratory normal
• Serum creatinine ≤ or = to 2.5 mg/dl
• Performance status (ECOG) ≤ or = to 2 (Appendix E).
• Eligible for SCT with LVEF > or = to 50% by MUGA or ECHO, and diffusing capacity > 50% predicted by pulmonary function testing
• Ability to understand the investigational nature of this study and to give informed consent
• All study participants must be registered into the mandatory RevAssist® program, and be willing and able to comply with the requirements of RevAssist
• Females of childbearing potential (FCBP)† must have a negative serum or urine pregnancy test with a sensitivity of at least 50 mIU/mL within 10 - 14 days prior to and again within 24 hours of prescribing lenalidomide (prescriptions must be filled within 7 days) and must either commit to continued abstinence from heterosexual intercourse or begin TWO acceptable methods of birth control, one highly effective method and one additional effective method AT THE SAME TIME, at least 28 days before she starts taking lenalidomide. FCBP must also agree to ongoing pregnancy testing. Men must agree not to father a child and agree to use a latex condom during sexual contact with females of child bearing potential even if they have had a successful vasectomy. See Appendix C: Risks of Fetal Exposure, Pregnancy Testing Guidelines and Acceptable Birth Control Methods.
• Able to take aspirin 325mg daily as prophylactic anticoagulation (patients intolerant to ASA may use Coumadin or low molecular weight heparin).

Exclusion Criteria:

• Prior treatment for myeloma
• History of thromboembolic disease within the past 6 months regardless of anticoagulation
• Myocardial infarction within 6 months prior to enrollment, or New York Hospital Association (NYHA) Class III or IV heart failure (see APPENDIX F), uncontrolled angina, severe uncontrolled ventricular arrhythmias, electrocardiographic evidence of acute ischemia or active conduction system abnormalities.
• Pregnant or breast-feeding women are excluded due to the potential teratogenicity of lenalidomide.
• Concurrent active malignancy other than non-melanoma skin cancers or carcinoma-insitu of the cervix, or presence of myelodysplastic or myeloproliferative disease. Patients with prior malignancies with a disease-free interval of ≥ or = to 5 years are eligible.
• Active hepatitis B or C infection
• HIV 1 or 2 positivity
• Any other medical condition or laboratory evaluation that, in the treating physician's or principal investigator's opinion, makes the patient unsuitable to participate in this clinical trial