Always consult none else but a vascular surgeon for fistula construction.Always remember that a Vascular surgeon is the only authorized competent surgeon all over the world for constructing an A-V Fistula. Therefore, kidney patients must seek an experienced vascular surgeon for fistula construction at a hospital that has a fully developed vascular surgery department. In some cases, even general surgeons and plastic surgeons appear to be overly enthusiastic about fistula construction, which is not appropriate. Without the necessary skills, surgical precision and experience, it is the patient who ultimately suffers, and he or she loses the chance of successfully creating a fistula on the left wrist. Therefore, always politely request your kidney specialist to have the first dialysis fistula created on your left wrist by a vascular surgeon.

Dr. K. K. Pandey is a Senior Consultant in Cardiothoracic, Thoracic and Vascular Surgery at Indraprastha Apollo Hospital, New Delhi, with nearly 30 years of surgical experience. He has previously worked at Batra Hospital, Dr. Ram Manohar Lohia Hospital in New Delhi and the Bakulev Institute of Cardiovascular Surgery in Moscow. Dr. Pandey specializes in thoracic, lung and chest tumour surgery, varicose veins, vascular bypass procedures and diabetic foot management, using both open and minimally invasive techniques. A surgeon, writer and health educator, he regularly writes columns and books to make complex medical topics easy for the general public, believing that medical knowledge must reach every common person.
