The future of nutrition in kidney disease looks different from its past. Historically, the so-called “renal diets,” aimed predominantly at reducing potassium content, have eschewed consideration of the microbiome, the inclusion of plant foods or the bioavailability of micronutrients such as potassium and phosphorus, but as this issue of the Journal of Renal Nutrition shows, these concepts are here to stay. Several recent narrative reviews have extensively discussed the potential benefits of a plant-based diet and a low-protein, plant-dominant diet, also known as a “PLADO diet.”1,2 For reference, plant-dominant diets derive at least 50% of the protein from plant sources but less than those seen in plant-based diets.