Hemodialysis vs Peritoneal Dialysis: Comparing Your Options

Two Paths, Same Goal

When your kidneys can no longer adequately filter your blood, dialysis becomes necessary. There are two main types: hemodialysis (HD) and peritoneal dialysis (PD). Both are effective treatments — the best choice depends on your medical condition, lifestyle, and personal preferences.

Hemodialysis (HD)

Hemodialysis uses a machine with an artificial kidney (dialyzer) to clean your blood outside your body. Blood flows through tubes to the dialyzer, which filters out waste and excess water, then returns the clean blood to your body.

Advantages of Hemodialysis

• Medical professionals handle your treatment (in-center)
• You have days off between treatments
• No supplies to store at home
• Social interaction with other patients and staff
• Regular monitoring by healthcare team

Considerations for Hemodialysis

• Fixed schedule — you must come to the center on treatment days
• Travel to and from the center
• Stricter fluid and diet restrictions between treatments
• May feel tired after treatments
• Needle insertion each session (for fistula/graft access)

Peritoneal Dialysis (PD)

Peritoneal dialysis uses the lining of your abdomen (peritoneum) as a natural filter. A cleansing solution is placed in your abdomen through a permanent catheter, draws waste products from blood vessels, then drains out taking the waste with it.

Advantages of Peritoneal Dialysis

• Done at home — no need to travel to a dialysis center
• More flexibility and independence in your schedule
• Gentler, continuous treatment with fewer dramatic fluid shifts
• More liberal diet and fluid allowances
• No needles during treatment
• May preserve remaining kidney function longer

Considerations for Peritoneal Dialysis

• Requires training and self-care responsibility
• Must have storage space for supplies at home
• Permanent catheter in your abdomen
• Risk of peritonitis (infection) if technique is not sterile
• Daily treatment commitment

Making Your Decision

Remember: there is no wrong choice. Both treatments keep you alive and healthy. The best treatment is the one you can commit to and that fits your lifestyle. And your choice is not permanent — many patients switch between HD and PD at different points in their journey. Our team at Avitus is here to help you decide.