The three primary types of dialysis access are arteriovenous (AV) fistulas, arteriovenous grafts, and central venous catheters. AV fistulas are considered the preferred choice due to their longevity and lower complication rates. The selection of the most suitable option depends on various factors, including the patient’s overall health, lifestyle, and the anticipated duration of dialysis treatment. Surgeons and healthcare providers carefully assess individual circumstances to determine the most appropriate access method.