The child with end-stage renal disease who must undergo dialysis treatments poses nursing problems and concerns. This article reports the findings from a descriptive study that investigated children's responses to dialysis. The sample consisted of 8 children, 4 boys and 4 girls, aged 9 to 15 years, whose illness necessitated peritoneal and/or hemodialysis. Their behavior indicated a mourning response to losses they encountered as a result of illness and the concomitant treatment. How the child and family as well as nurses deal with the concerns and problems is discussed.