there is better control in the peritoneal dialysis population. Reducing the morbidity and mortality associated with hypertension is of paramount importance, and understanding its etiology in chronic dialysis patients is critical in order to optimize treatment [5]. A range of strategies may be used and should be understood to improve control of blood pressure. To reduce the disease burden in patients with ESRD, vigorous control of hypertension is recommended [11]. In this article, we review different aspects of hypertension, focusing mainly on the hemodialysis population.