The intradialytic hypotension is the most common problem during dialysis,resulting in reduced time of sessions and Led to less benefit from dialysis.This study tried to overcome this problem in an easy and safe way by usingcool dialysate instead of standard dialysate, that resulted in reducedhypotensive episodes and haemodynamic stability during dialysis withoutimpairing efficacy (urea reduction ratio) of dialysis or ultrafiltration andresulted also in good tolerability of patients to dialysis and they becamemore energetic and able to do their regular activities and there were no sideeffect or complications during treatment.