Optimal postoperative care promotes healing of the exit-site wound and the catheter track. Postoperative care includes immobilization of the catheter to prevent trauma to the exitsite and cuffs, minimizing exposure to bacteria and preventing colonization.¹³ If possible, implantation should be timed to allow 2 weeks for healing prior to initiation of dialysis. If dialysis is required early, small volume exchanges in the supine position may be performed with frequent checks for leakage. Postoperative assessment and dressing changes should be performed weekly by experienced staff only using aseptic technique with mask and gloves until healed.¹