Chronic kidney disease is a diagnosis that our patients do not want to hear. However, as nephrologists we are often the bearer of these dreaded words. What is even more challenging for us is to tell patients that they will need renal replacement therapy, be it hemodialysis or peritoneal dialysis. These are life-changing words that will impact the quality of our patients’ lives. They have to cope with and accept the changes created by the need for lifelong medical care.