Although there are many hemodialysis centers in Saudi Arabia, only a few chronic peritoneal dialysis. We describe our findings from a 7-year study of 28 patients with end-stage renal disease who were maintained on chronic intermittent peritoneal dialysis [CIPD] using automatic cycler machines located at Al Hada Armed Forces Hospital, Taif. The duration of dialysis ranged from 4 to 60 months and the age the patients ranged from 6 to 74 years. The incidencations for choosing peritoneal dialysis rather than hemodialysis included severe cardiovascular disease, cerebral hemorrhage, retinal hemorrhage, and lack of vascular access. The technique. Complications, and outcome of patients were evaluated. The incidence of culture-positive peritonitis was at 0.48 episodes per patients year. Seven patients remain on CIPD, five have undergone kidney transplants, kidney function improved in two, three were transferred to other hospital, two were switched oluntarily to hemodialysis, and nine died. Patients with end-stage renal disease who have severe cardiovascular disease and those with poor vascular access should be offered the alternative of peritoneal dialysis. If chronic ambulatory peritoneal dialysis or chronic cyclic peritoneal dialysis is not feasible, the CIPD as described can be adopted easily in most nephrology units