Peritoneal Dialysis vs. Hemodialysis: Which Is Right for You?
Understand the differences between these two dialysis options to make an informed decision about your kidney care.
When your kidneys can no longer filter your blood effectively, dialysis becomes necessary. The two main options—peritoneal dialysis (PD) and hemodialysis (HD)—both work well, but they fit different lifestyles.
How They Work
Hemodialysis
Blood is filtered through a machine. Requires access (fistula, graft, or catheter) for the machine to connect to your bloodstream.
- • Usually at a dialysis center
- • 3-4 times per week, 3-4 hours each
- • Medical staff handles the process
Comparison at a Glance
| Factor | Peritoneal (PD) | Hemodialysis (HD) |
|---|---|---|
| Location | Home | Dialysis center (usually) |
| Schedule | Daily (flexible timing) | 3x/week, fixed schedule |
| Travel | Easier—bring supplies | Must arrange center visits |
| Diet | More liberal | More restricted |
| Independence | High—you control it | Staff manages treatment |
| Access Type | PD catheter in abdomen | Fistula, graft, or catheter |
Who Is a Good Candidate for Each?
PD May Be Best If You:
- • Want to dialyze at home
- • Value schedule flexibility
- • Travel frequently
- • Want to maintain more independence
- • Have good vision and dexterity
HD May Be Best If You:
- • Prefer not to do treatments yourself
- • Have had abdominal surgery
- • Live with others who can't help with PD
- • Need close medical supervision
- • Have limited home storage space
The Good News
Both types of dialysis work equally well for most patients. Many people try one type and switch to the other later. The best choice depends on your lifestyle, home situation, and preferences—not which one is "better."
Need Help Choosing?
We'll help you understand your options and prepare for whichever type of dialysis fits your life.