Types of peritoneal dialysis (PD) catheter design and catheter insertion techniques have been shown to affect catheter-associated infection, catheter survival, as well as, overall patient survival. Thus far, there have been no studies demonstrating a difference in long term outcome between two insertion techniques used for PD placement, including midline and paramedian incisions. The present study was conducted to compare clinical outcomes among CAPD patients who had bedside PD catheter insertion through midline incision vs. paramedian incision in terms of early post-operative complications and long term outcomes.