KDIGO’s history is a history of guidelines in nephrology. There were none in 1994 when a conference called Controversies in the Quality of Dialysis Care was held under the auspices of the National Kidney Foundation (NKF, United States). It was co-chaired by Dr. Gary Eknoyan. One recommendation from that event was the call for the development of nephrology guidelines. That thought resonated with various stakeholders, who provided funding and expertise to enable the NKF to develop evidence-based clinical practice guidelines. Four guidelines under the banner of the DOQI (Dialysis Outcomes Quality Initiative) were published in 1997.