KDIGO Clinical Practice Guidelines for Chronic Kidney Disease-Mineral and Bone Disorder (CKD-MBD) issued in august 2009 were established on the strict principles of the evidence-based medicine, and even in conditions of lack of hard evidences may be used as a fundamental base for clinical decisions in definite patients. Taking in consideration studies not included in the recommendations rationale (issued after 2009 or failed to pass strict selection as well as observational studies) in the lack of strict algorithms may be also useful for making reasonable and balanced decisions. The analysis of the works included in this review and other studies as well as clinical experience allowed the work group of the Russian Dialysis Society to propose variant of ckd-mbd recommendations that is the adopted for Russian practice and dialysis population. We the hope that the guidelines, updated regularly on a specially designed web-site www.ckd-mbd.ru will be useful for practitioners.