How to Travel with Dialysis: A Step-by-Step Guide for Kidney Patients
Updated: 2 days ago
By Takako Maki — Dialysis Travel Coordinator & Japan Private Tour Guide
Kidney disease doesn't have to mean the end of travel. In fact, thousands of dialysis patients travel internationally every year — and Japan is one of the most rewarding destinations you can choose.
If you've been dreaming of cherry blossoms in Kyoto, sushi in Tokyo, or a peaceful ryokan in the mountains, this guide is for you. As a dialysis travel coordinator who has helped patients from the US, Canada, Australia, and beyond experience Japan safely, I want to show you exactly how it works — step by step, with no surprises.
Can You Really Travel on Dialysis?
Yes — and more easily than you might think.
Japan has hundreds of dialysis clinics, many of which are fully equipped and experienced in treating international patients. Tokyo alone has several dedicated "travel dialysis" clinics with English-speaking staff. The infrastructure is there. What matters most is your preparation.
Behind that is one of the world's largest and most closely monitored dialysis systems — some 4,500 facilities caring for roughly 347,000 patients under universal health coverage, with a national registry that captures 98.7% of them. The long-term survival of maintenance dialysis patients in Japan is reported to be among the best in the world. Sources: Japanese Society for Dialysis Therapy Renal Data Registry, Annual Dialysis Data Report 2022; Okada H, et al., PLOS ONE 2024;19(4):e0302101.
The key difference between a stressful trip and a smooth one? Planning ahead. Here's how to do it right.
Step 1: Talk to Your Nephrologist First
Before anything else, have an honest conversation with your kidney doctor. Ask:
Am I medically stable enough to travel internationally?
Are there any restrictions I should follow (flight duration, fluid intake, diet)?
Can you prepare a dialysis summary letter for the clinic at my destination?
Your doctor's clearance is the foundation of everything. Don't skip this step.
Step 2: Start Planning Early — At Least 6–8 Weeks Out
This is the single most important practical tip: start early.
Dialysis clinics in Japan typically require a minimum of 3 weeks' lead time to accept a travel dialysis patient. Popular clinics in Tokyo fill up fast, especially during peak seasons (spring cherry blossom season in late March–April, and autumn foliage in November).
In general, twelve weeks is the recommended lead time, which also comfortably covers busier periods such as spring cherry blossom season in late March through April, or autumn foliage in November.
Step 3: Gather Your Medical Documents
Japanese clinics will ask for a standard set of documents before confirming your booking. Prepare these in advance:
Your 3 most recent dialysis records (lab results from the past 1–3 months)
A referral letter from your nephrologist (in English, ideally with a summary of your treatment details)
Your current medication list
Your dialysis prescription (treatment duration, blood flow rate, dialysate, anticoagulant, etc.)
Keep originals and copies. Carry medications in your hand luggage — never check them in.
Step 4: Book Your Dialysis Sessions in Japan
Once you have your documents, it's time to contact clinics at your destination. In Japan, the process typically works like this:
Submit your inquiry to the clinic, including your preferred dates and number of sessions needed
Send your medical documents (usually by email or fax)
Receive confirmation — the clinic will confirm availability and send you a patient information sheet
Final document submission at least one week before your first session
Cost: If you arrange everything yourself, contacting a clinic directly, you'll generally pay less than working through a coordinator. This is typically paid directly to the clinic and is separate from your travel costs.
Insurance note: US Medicare and Medicaid do not cover dialysis costs outside the United States. Check your private insurance or travel insurance for any international medical coverage before you go.
Step 5: Plan Your Itinerary Around Your Treatment Schedule
This is where thoughtful planning transforms a medical trip into a real vacation.
Most hemodialysis patients receive treatment 3 times per week, with sessions lasting 3–5 hours. In Japan, sessions are typically offered in morning or afternoon slots. This leaves plenty of time to explore.
A few practical tips:
Schedule your dialysis on arrival day or the day after to start fresh and adjust to the time zone
Book your accommodation near the clinic for your treatment days — Tokyo's subway is efficient, but saving energy matters
Cluster sightseeing on your non-dialysis days for longer excursions (day trips to Nikko, Kamakura, or Hakone, for example)
Keep your diet consistent — Japan's cuisine is naturally lower in potassium and phosphorus than Western food, but be mindful of high-sodium dishes like ramen and soy-heavy sauces
Step 6: Prepare for Your Japan Arrival
A few Japan-specific details to know before you go:
Medical visa: If your treatment stay is extended, Japan offers a "Medical Stay Visa." For short trips (under 90 days from eligible countries), a tourist visa or visa-waiver entry is usually sufficient — but confirm with the Japanese embassy or consulate for your country.
Language: Most dedicated travel dialysis clinics in Tokyo have English-speaking staff or translation support. Still, it's helpful to carry a printed card with your treatment details in Japanese — your coordinator can prepare this for you.
Emergency contacts: Save the number of your dialysis clinic, your accommodation, and a medical assistance hotline before you arrive.
Why Work with a Dialysis Travel Coordinator?
You can, of course, handle all of this yourself. But working with an experienced coordinator who knows Japan can save you weeks of research, prevent costly mistakes, and give you the peace of mind to actually enjoy the trip.
At Rising Sun Ambassadors, I personally handle:
Identifying the right clinic for your schedule and location preferences
Coordinating document submission on your behalf
Translating medical correspondence when needed
Planning your itinerary around treatment — including private guided tours on your off days
My guests tell me the same thing after every trip: "I didn't think this was possible. Thank you for making it happen."
Because that's the truth — it is possible. And it can be extraordinary.
What to Pack: A Quick Dialysis Travel Checklist
✅ 3 months' supply of all medications (carry-on only)
✅ Copies of prescriptions + medication list in English
✅ 3 most recent dialysis records
✅ Nephrologist referral letter
✅ Confirmation documents from your Japan dialysis clinic
✅ Travel insurance documents (with medical coverage details)
✅ Emergency contact list (clinic, accommodation, Japan emergency: 119)
✅ AV fistula or catheter care supplies as advised by your nurse
✅ Comfortable, loose clothing for treatment days
Frequently Asked Questions
Can I do peritoneal dialysis (PD) in Japan? Yes — some clinics and hospitals support PD patients. Supply delivery to your accommodation may also be arrangeable for longer stays. Start the inquiry process even earlier for PD.
What if I have an emergency during my trip? Japan has an excellent healthcare system. Major city hospitals have international patient departments with English support. Always carry your medical documents and clinic contact information.
Can I take the bullet train (Shinkansen) on dialysis? Absolutely. The Shinkansen is one of the smoothest forms of travel in the world. With proper hydration management and timing your journey between treatments, day trips to Kyoto, Osaka, or Hiroshima are very much within reach.
How far in advance should I contact you? Ideally twelve weeks before your trip, with a minimum of six to eight weeks; clinics themselves require at least three weeks. For peak seasons (March–April, October–November), earlier is better.
What It Costs to Work With RSA
Arranging it yourself, clinic to clinic, is the lower-cost route. If you'd rather have someone else find the clinic, prepare the paperwork, and manage the logistics for you, RSA's coordinated service works differently.
Clinic Dialysis Coordination: ¥170,000 per session (tax included). Coordination fee: 20% of the medical cost, with a minimum of JPY 100,000 per case (tax included).
For guests who prefer treatment in the privacy of their own hotel room, in-suite hemodialysis — a full medical team and equipment brought directly to you — is also available. Because it depends on your dates, hotel, and medical needs, we quote it individually; contact RSA for current pricing.
What is a Guarantee of Payment (GOP)? A Guarantee of Payment (GOP) is a letter from your insurance company confirming that they will cover the cost of your treatment at the medical facility. It acts as a financial guarantee to the clinic or RSA team on your behalf. Most standard travel insurance plans do not cover pre-existing conditions such as chronic kidney disease, so obtaining a GOP before departure is strongly recommended — RSA can assist with the documentation your insurer may require to issue one.
Care Beyond Tokyo
Tokyo is where RSA's own in-suite hotel dialysis service operates, but it isn't the only place we can support you. RSA works in partnership with CSC Corporation, our clinical coordination partner, to arrange dialysis care at facilities across Japan — so a multi-city itinerary doesn't have to mean a gap in your treatment schedule.
A Recent Case: Two Sessions, Two Hotels, One Smooth Trip
Earlier this year, we supported a guest traveling through Asia with her husband — Seoul, then Tokyo, then Kyoto — while managing a twice-weekly dialysis schedule.
We first explored hotel in-suite dialysis, working directly with both of her Tokyo hotels to confirm the technical requirements — power, water pressure, room layout — for bringing a full medical team and equipment to her room. Both hotels came back willing to accommodate it. In the end, she and her husband chose a partner clinic instead, and we moved to that plan without losing any time.
After her second session, she wrote to us:
"Treatment was great and I'm so grateful to you and your staff. Everyone made it easier and I'm very thankful for your help. Again, thanks for all your help coordinating and I look forward to returning to Japan in the future."
That's the outcome we work toward on every case — not just a completed session, but a guest who leaves Japan already thinking about her next trip.
Ready to Start Planning?
Traveling with dialysis requires preparation — but it opens up a world that many patients assume is closed to them. Japan is waiting for you: the ancient temples, the serene gardens, the food, the people, the beauty that stays with you long after you return home.
If you'd like support planning your dialysis trip to Japan, I'd love to hear from you.
Takako Maki is a certified Japan private tour guide and dialysis travel coordinator based in Tokyo. She specializes in creating meaningful, medically coordinated travel experiences for kidney patients and their families.
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