Abstract
The successful hemodialysis program addressing the complex needs of the dialysis patient population employs a collaborative effort among the medical nephrologist, access surgeon, and interventional radiologist. It is imperative that all team members understand the basic tenets of hemodialysis access and afford open and continuous communication to achieve the best results. This monograph will serve to highlight the access surgeon's view of the optimal integration of the interventional radiologist in the development and maintenance of a successful hemodialysis program.