A Beginner’s Guide to Dialysis: Everything You Need to Know Before Starting Treatment

Starting dialysis can feel overwhelming, but understanding the basics makes the transition much easier. Dialysis is a life-
sustaining treatment that performs the work of healthy kidneys by filtering waste, toxins, and excess fluids from your

blood when your kidneys can no longer do so effectively.
There are two main types of dialysis:

• Hemodialysis (HD): Uses a machine (dialyzer) to clean your blood. It is usually performed at a dialysis center three times a week, with each session lasting about 4 hours. Access is created in your arm via an AV fistula or graft.
• Peritoneal Dialysis (PD): Uses the lining of your abdomen (peritoneum) to filter blood inside your body. This can often be done at home daily, either manually or using an automated machine while you sleep.

Before starting, your care team will help choose the best option based on your lifestyle, health, and preference. While
dialysis requires significant routine adjustments, it enables people with severe kidney failure to maintain an active,
fulfilling life. Staying consistent with treatment, taking prescribed medications, and following dietary guidelines are key to
feeling your best.