Innovative “green dialysis” initiatives have been implemented successfully in the United Kingdom, European Union, Australia, and elsewhere. The main challenge now lies in achieving rapid and widespread adoption of these practices across diverse regions. Additionally, there is an urgent need for new technologies and models of care. In hemodialysis, key areas for innovation include the development of more efficient water purification systems and energy-saving equipment. For peritoneal dialysis, point-of-care dialysate generation could significantly reduce carbon emissions associated with transport. Across both modalities, the introduction of novel bioplastics or other strategies to reduce harmful disposable materials could greatly mitigate environmental impact.

Previously, KDIGO has addressed contemporary dialysis topics such as optimal dialysis prescription, blood pressure and volume management, and approaches for assessing and ameliorating symptom burden.  This KDIGO Controversies Conference on Green Dialysis: Environmentally Sustainable Care, Growth, and Innovation intends to be forward-looking, appraising novel promising green dialysis technologies both in the present and beyond. Dr. Katherine Barraclough (Royal Melbourne Hospital, Australia) and Dr. Jennifer Flythe (University of North Carolina, USA) will co-chair this conference.

KDIGO is committed to fully offsetting all CO₂ emissions generated by this conference as part of our responsibility towards climate protection. To achieve this, KDIGO supports PROJECT TOGO in West Africa, an innovative initiative that not only restores natural forests but also promotes sustainable agriculture, builds efficient cooking stoves, ensures access to clean drinking water, fosters women-led cooperatives, and establishes educational programs. PROJECT TOGO empowers communities by sharing knowledge, creating long-term self-reliance, and actively contributing to achieving 12 of the 17 UN Global Goals.