Anatomical and functional characteristics of the peritoneal cavity hav
e to be evaluated prior to catheter implantation for continuous ambula
tory peritoneal dialysis (CAPD). This review summarizes the constraint
s that may be encountered and the few technical certitudes that have b
een validated. The American Registry for CAPD is the unique source of
validated data, indicating that the early risk for peritonitis followi
ng catheter implantation is significantly lessened with a two-cuff cat
heter used by a surgeon. Catheter shape as well as per-operative antib
iotic prophylaxy have no effect on prognosis.