Dialysis saves lives. But only if you can do it and do it well. Enter dialysis access. There is no dialysis without dialysis access. Whose job is it to take care of this vital, crucial part of dialysis? Is it OK to leave this to physicians for whom dialysis is not foremost in their minds? Or should it be the other way around? Should nephrologists become part-time surgeons? If you’re thinking about these things and particularly if you are harbouring a hidden desire to do some surgical stuff on top of being a brainiac day in and day out, then you simply must listen to the podcast that we did with Jernej Pajek, a well-known expert in the field of dialysis access, entitled – How to start a career in dialysis access.