End stage renal failure of varying degrees of severity been seen in our clinics, there is no statistical evidence of the magnitude of the problem in Was it province and many areas in our country. This study conducted to determine the most probable etiological causes of end stage renal failure, in was it province. This studies ninety one patients of end stage renal failure, who are receiving their renal replacement therapy in dialysis department of AL-Kut hospital, aged 15 years and over. The study show of the 91 adults studied, cases of ESRF were identified, 30 of them where of unknown cause, 26 of them the hypertension was the main cause, 19 of them DM was the main cause, infective and obstructive causes in 9 patients, while the glomerulonephritis in 5 patients and familial causes were present in 3 patients and only one with congenital disease. It was noted that the unknown cause for the ESRD was the main factor and the was the second cause in our study and this differ from a lot of studies in the world .and also there was clear effect for the age and sex on the etiological causes.

Renal Failure, Health, Hypertension.