Cellulitis of the lower limbs is common in patients on maintenance haemodialysis on account of depressed immune status of these patients. In the patients with normal renal function conservative treatment with anti biotics is usually adequate. Surgical intervention is needed only when the complications like abscess formation or necrosis is suspected. This is not so in the patients on maintenance haemodialysis, Conservative treatment with antibiotics has limited response in patients on maintenance haemodialysis and the cellulitis quickly gets complicated leading to a life-threatening situation. Hence early surgical intervention is recommended and is beneficial in these patients.