There is no statistical improvement in the results of kidney transplantations in the last 4 years, but a successful kidney recipient is easier to rehabilitate than a person maintained on dialysis. ‘The uremic toxin’ has not been found, and it behooves us to remove all that is retained. The KG liter concept should be considered next to the square meter hour concept. Kidneys with inexpensive inserts (E.Z.S. kidney) andsingle needle dialysis are now practical. Coated charcoal kidneys soon will be practical. Speculations for thefuture are presented. The wearable kidney is one.

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