Aim: To review our experience of arterio–venous fistula(AVF) creation and to assess the success rate and common complications.

Materials and methods: A prospective study was conducted in a tertiary health care institute over  a period of 18 months. Inclusion criteria included patients with chronic kidney disease/End stage renal disease referred by the nephrologist for AV fistula creation. Preoperative work up included clinical and Doppler assessment of the vessel, laboratory investigations, operative procedure, confirmation of fistula function follow up on table, 6 weeks, 8 to 12 weeks and after 12 weeks.

Results: Side to side anastomosis was done in 94.6% and end to side anastomosis in 5.4% cases. 80% of our AVFs started to immediately function after operation, a majority(65.3%) in less than 6 weeks. 10.6% cases of AVF developed thrombosis, 5.3% cases bled, 9.4% got infected and 4% developed

an AV aneurysm. 69 out of 75 patients survived towards the end of our study period.

Conclusion: Distal AVFs are associated with less complications. The success rate of AVF creation can be improved by proper case selection with use of Doppler ultrasound preoperatively and the use of proper technique of anastomosis .