This book written for the average listener, offers patients with very mild CKD to those who need to plan for dialysis or kidney transplant, scientifically proven ways to slow progression of CKD, and to treat the various medical issues associated with early to end stage kidney disease. It also presents Dr Rosansky's Smart Diet for all CKD patients which can not only slow CKD progression but can also help patients live longer and better.

The book explains why very low protein diets, promoted by many kidney books, may be harmful. The book presents the treatment recommendations from international kidney doctor organizations for the medical problems associated with CKD. For most patients this book will alleviate concerns about having CKD, since dialysis and kidney transplant are rarely required for most CKD patients. For some patients with advanced CKD, the book can delay the start of dialysis for many months or even years. Dr Rosansky explains situations where kidney disease is reversible and ways to prevent reversible declines in kidney function. The first part of the book has information for all patients with CKD. Later chapters are directed to patients whose CKD has progressed. For those who want to get the "meat" of the book, the final chapter provides a summary of all the book's material.

For patients who are wondering about whether dialysis is in their future, the book offers several ways to predict this. For patients whose kidney function has declined to low levels the book lays out the pros and cons of the treatment options - a kidney transplant or dialysis. Dr Rosansky explains the best ways to delay dialysis and why getting a kidney transplant before dialysis is ever started or choosing home peritoneal dialysis are the two best options for most CKD patients who require a kidney replacement therapy.