Background: Basilic vein transposition(BVT) either in single or two stage is an excellent autogenous access procedure when cephalic vein is not available. This study aims to analyse feasibility, patency of two–stage BVT in smaller caliber basilic vein (< 3mm).

Method :20 basilic vein transposition were performed in basilic vein caliber 2.4 – 2.8mm.Two–stage technique was done and data collected to assess complications, maturity and patency of basilic vein at 6 months.

Results : Primary patency at 6 months was 90%.Although 20% of our patients experienced complications, the majority resolved spontaneously.

Conclusion : Initial results from our study has been encouraging for two–stage BVT even in vein < 3mm diameter