Hemodialysis for renal disease can be done in the foot as a fistula, but the principle of surgical position is upper limb then lower limb, distal then proximal, and habitual side then non-habitual side, and usually the upper limb is chosen. Patients with a glomerular filtration rate <15 ml/min should be started on renal replacement modality selection. Patients expected to undergo hemodialysis should have an autologous arteriovenous endovascular fistula performed at least 6 months in advance to allow time for adequate endovascular maturation and correction of the causes of poor maturation, and to avoid having to perform deep venous cannulation when dialysis is required. An arteriovenous endovascular fistula is the preferred hemodialysis access. The surgeon will take into account the location and thickness of the vessels, the presence of edema, scarring, and the area to be punctured after surgery. If you are suffering from kidney disease and need to undergo hemodialysis, please go to the hospital in time and choose the appropriate treatment plan under the guidance of professional doctors.