Introduction : In end-stage renal failure patients, for whom cure may not be a realistic goal, maximizing functioning and well-being should be the primary objective of care. This can be achieved through meticulous dietary management of these patients. Aim and objectives : The study objectives were to identify malnutrition problems in the sample and to investigate whether nutritional counselling can improve knowledge and practice, biochemical parameters, and daily performance in these patients and to advice the patients with the dietary guidelines.Methods : A study of 41 patients, on three times per week haemodialysis, were enrolled in this study. Needed information was collected with the help of a questionnaire through a personal interview, nutritional assessment and biochemical parameters of the patients. All patients were given sessions of nutritional counselling over a six-month period, and then after a re-assessment were done. Results : In this study, 97.5 % of patients were considered mild to moderate malnourished. Multiple malnutrition problems detected among these patients were protein-energy malnutrition, hypocalceimia, anemia and hyperphosphateimia, in addition to, an increase in fluid intake and inter-dialytic weight gain. Nutritional counselling sessions resulted in significant changes in the Karnofsky performance scale of the patients, the patients’ nutritional knowledge and to an extent in their dietary practice. Conclusion : Providing one-to-one nutrition counselling resulted in improvement of the patients’ nutritional knowledge and practice, and improvement of patients’ compliance to the dietary guidelines for the dialysis patients, which in turn has significantly improved their health status and their daily performance.