Abstract: With the progress and development of hemodialysis techniques,more and more patients with advanced renal failure can prolong their life through hemodialysis.However，fistula complications can appear with the long use of the access and can affect the quality of patient's life.For those patients with permanent failure of the access due to various complications caused by longterm use of the access,however,the conventional dialysis access can not be established,the upper arm basilic vein transposition dialysis access can be accepted  as a choice.The author will discuss the advantages and disadvantages,surgical methods and skills of the upper arm basilic vein transposition operation combined with clinical experience and literature.

Key words: hemodialysis, up arm, basilic vein, transposition, arteriovenous fistula