Back ground: Hemodialysis patients have an inflammatory state which is attributed to their morbidity and mortality compared to the general population. Objective: To study the association between neutrophil to lymphocyte ratio and other inflammatory markers: (Interleukin-6 (IL-6), high sensitive C reactive protein (hs-CRP), and other inflammatory markers) in hemodialysis patients. Patients and methods: Forty two hemodialysis patients. Participated in this study. They divided into two groups. Group I: Patients whose hs-CRP > 10 mg. Group II: Patients whose hs-CRP < 10 mg. The association between neutrophil to lymphocyte ration and the other inflammatory markers war studied. Results: 69% of the patients (29 patient) whose hs-CRP were more than 10 mg and 31% of the patients (13 patients) whose hs-CRP were less than 10 mg. Additionally, there has been a positive correlation between neutrophil to lymphocyte ratio and interleukin-6 along with platelet to lymphocyte ratio. Moreover, interleukin 6 that indicated inflammation in hemodialysis, was more than 30 ng. Further, the value of neutrophil to lymphocyte ratio which represented the inflammation in hemodialysis patients, was equal or more than 1.6. Conclusion: Cardiovascular condition of hemodialysis patients affects their morbidity and mortality. Consequently, it could be assessed by neutrophil to lymphocyte ratio which has high specificity and sensitivity.