Hematuria is a common pathological finding in urine examination. A detailed clinical history and examination along with relevant testing is required to find the cause of hematuria. It can be a sign of glomerulonephritis and if not diagnosed on time can lead to chronic renal failure. Documenting dysmorphic RBC in urine helps in diagnosing glomerular hematuria. Phase contrast microscopy is considered gold standard in identifying dysmorphic RBCs but new evidence shows that light microscopy is equally effective. Routine reporting of dysmorphic RBCs should be done in all patients of hematuria. Various methods to increase identification of dysmorphic RBCs are discussed.