The healthcare industry, together with its supply chain, contributes significantly to greenhouse gas emissions and natural resource depletion. Dialysis programs have a particularly large carbon footprint, with a recurrent, per capita resource consumption and waste generation profile that is second to none in healthcare. Recognising this, and the need for change, the Australia New Zealand Society of Nephrology (ANZSN), in partnership with the Renal Society of Australasia (RSA; the peak Australasian body for renal nursing and related allied health professionals) and Kidney Health Australia (KHA; the peak Australian body for consumers and carers), convened a working group in early 2017 to promote and support a transformation to environmentally sustainable care in Australia and New Zealand. Expressions of interest were sought from environmental sustainability-passionate clinicians, nurses, administrators, and consumers in Australia and New Zealand. This resulted in the formation of the Green Nephrology Action Team (GNAT), whose membership includes 4 nephrologists, a renal technician, two renal nurses, a representative from KHA and a consumer. GNAT has developed a position statement on environmental sustainability and renal care which can be viewed on the ANZSN website. GNAT’s primary focus to date has been on raising awareness within the ANZ renal community about the environmental problems related to dialysis, because willingness to solve them can come only after there is realisation that they exist. To this end, an environmental symposium and workshop were held at the 2018 ANZSN and RSA annual meetings, respectively, and social media platforms for posting/discussing ideas are slowly building. A draft ‘Green Dialysis’ website (which improves, updates and expands an existing website - www.greendialysis.org) is near completion - this aims to serve as a resource for all those in the renal community keen to address the environmental impact of their own practice. Recognising the need for a strong evidence base to guide practice change, GNAT has also developed a list of ‘green’ research priorities and funded two Environmental Research Prizes, one each for RSA and ANZSN, which were awarded for the first time at the 2018 RSA and ANZSN annual meetings. Climate change, resource consumption and waste management are issues that impact us all. As a nephrology community, we have a responsibility to minimise the adverse effects of our own practice and to protect and promote a safe and healthy environment for the sake of our patients and the broader global community. GNAT seeks to encourage the Australia and New Zealand nephrology community to adopt resource conservation measures and environmental sensitivities, and to show other nephrology communities and healthcare sectors how to do the same.