A well-structured, patient-focused education programme is essential in the pre-dialysis setting. It is well recognized that patients with progressive chronic kidney disease stages 4 and 5 need to access appropriate levels of education to ensure patient choice, preparation, and timely commencement of renal replacement therapy. This education needs to be structured to suit different learning styles, individualized in approach and provided by healthcare professionals who have appropriate training and skills. There are many barriers to learning and individuals need information at different times, in different formats, and varying levels. Assessment and individualized planning is paramount prior to any information being provided to ensure maximum benefit. Education should be provided in many formats and tailored to meet the individual’s needs. Patient involvement in education (peer education) is recommended. All education programmes should be continuously evaluated and user involvement is a must when developing and evaluating any aspect of the education programme.