The article presents the 10-years experience of renal replacement therapy in a single centre. A total of 158 patients were treated in this period. 77 patients (47 F, 30 M, mean age 18.7 +/- 12 yrs) were treated due to chronic renal failure and 81 (35 F, 46 M, mean age 2.1 +/- 1.5 yrs) due to acute failure. 48 (62%) were treated by haemodialysis, 24 (31%) by peritoneal dialysis and 5 (7%) by both methods. Due to the shortage of dialysis units both children and adults were qualified to the dialysis therapy in our centre. Mean age of haemodialysis patients was 22 yrs and of those treated by peritoneal dialysis 13.5 yrs. 7 patients died (9%) and 30 (39%) were transplanted. 15 (19%) were transferred to other centres. The overall mortality was lower than reported by other authors. 4% of patients were tested HBV positive, 13% HCV positive and 9% both HBV and HCV positive and this rates are lower than the average rate in chronic dialysis patients in Poland. Our experience allows us to conclude that adult patients may be successfully treated in paediatric dialysis centres.