We read with interest the article by Niyyar et al,1 recently published in AJKD, focused on ultrasound (US) for nephrology practice across the spectrum of kidney disease. We agree that the use of US technology will improve diagnostic accuracy and increase quality outcomes in nephrology practice. Further, in our experience and according to convincing literature, we recommend that peritoneal dialysis (PD) should also include US guidance in clinical practice, particularly PD access.