Objective:- the study amid to assess dialysis adequacy among hemodialysis patients with end-stage renal disease. Methodology: A descriptive anon-probability (purposive sample) of (174) male and female hemodialysis patients in al-Najaf al-Ashraf city of patients with end -stage kidney disease and undergoing hemodialysis. Most patients were diagnosed with ESRD > one year ago from those who have spent more than twelve months on maintenance hemodialysis schedule. Data collected through using of a well-designed questionnaire consist of Three, part one consists of sociodemographic contain (7) items, and part two consists of medical data contain (7) items, Data was obtained from the patients undergoing hemodialysis by the interview. which include The form was based on preliminary assessment which checked the factor that influenced duration of disease ,period of session hemodialysis ,complication of hemodialysis and the adequacy of hemodialysis . The study was conducted at AL-Najaf AL-Ashraf City /AL Sadder Medical City and AL-Hakeem General Hemodialysis Center the study was begun from September 9th2021 to June 22th 2022. Data was analyzed by using of descriptive data analysis (frequencies, percentages, mean, standard deviation, person correlation). Results: The results of measurement of adequacy of 174 patient, about (35.1%) achieved adequate and (64.9%) did not achieve adequacy.