A report suggests that 20% of chronic kidney disease patients in Hyderabad acquired deadly viral infections such as Hepatitis C and B during the course of dialysis due to lack of safety and aseptic measures. The survey was carried out on 100 chronic kidney disease patients in the city over a period of 30 days by the Helping Hand Foundation (HHF). Such infections seriously limit the patients from potential kidney transplants. The cost of treatment for Hepatitis B and C also adds to the existing cost. The survey also highlights shortage of vascular surgeons in the government sector resulting in a high rate of AV fistula failures which was found in as many as 52% cases. An AV fistula is a port access used for hemodialysis. AV fistula surgeries are required to be done by vascular surgeons, who are best equipped to provide canula access in the veins, but none of the government tertiary hospitals have a dedicated vascular surgery dept for handling nephrologyrelated cases. The permanent cathertization for hemodialysis (permcath) is not covered under Aarogyasri adding to patients' problems.