The aim of this study is to demonstrate the beneficial effect of exercises in the patient with chronic kidney disease . the progression of  chronic kidney diseases [CKD]causes functional limitation and sever disability  poor quality of life  level of physical activity and exercises tolerance among CKD patient with hemodialysis is low and a sedentary life style is contributes to increases mortality risk this review is focus on importance and benefits of regular exercises for CKD patients. Systemic reviews and metaanalyses of controlled trailed reported that exercises based renal rehabilitation program improved cardiovascular function , muscular function and respiratory capacity and quality of life of CKD patients.