This document constitutes a position of the Interventional Nephrology Committee and the Consensus Group for Optimization of Vascular Accesses of the Latin American Society of Nephrology and Hypertension (SALNH) and is the result of the interest promoted in our society to generate a set of practical and applicable recommendations for the region, regarding the creation, care, and management of vascular accesses for patients on hemodialysis.We selected the information with the strongest scientific support and that better adapts to the needs of our patients.This document seeks to make available to all health professionals and patients, the best options regarding Vascular Access (VA) for hemodialysis, from its planning, creation, surveillance, and management of potential complications.