Registry, the exact incidence of CKD in India is not clear, but studies estimate that the number of new patients diagnosed with End Stage Kidney Disease ESKD requiring dialysis or transplantation is over 100,000 per year. Inequality in the access to health care between urban and rural populations, poverty, and undulation probably underestimates the actual burden of kidney diseases in our country. Causes in India Diabetes and Hypertension are the most common causes of kidney disease in India in both men and women. There is some difference in gender predisposition to renal disease. Females are more susceptible to certain autoimmune diseases which affect the kidneys like Systemic Lupus Erythematous, urinary tract infections. A newer entity Cod CKD unknown has recently been introduced which is found in hot climates, under hydration and tropical regions underlying the importance of adequate water intake. Tropical diseases like malaria, diarrhea, snake bites, poisonings also are commoner in India predisposing to acute kidney injury. Complications of kidney disease Chronic kidney disease can negatively impact the general wellbeing. Patients often demonstrate symptoms of lethargy, pain, depression, cognitive impairment, lack of sleep and appetite. They may complain of decrease urine output, swelling of the body, decrease in sexual arousal and infertility. There will have a fall in their hemoglobin levels, abnormalities in the calcium, phosphorous and uric acid parameters. Pregnancy in a CKD patient carries a high risk of neonatal and maternal morbidity and mortality, decrease in fetal weight, prematurity, low birth weight, fetal distress and also increases the chances of CKD in the offspring. Heart problems like heart failure