Peritoneal dialysis (PD) is the preferred dialysis modality for many end-stage renal disease (ESRD) patients in the US. However, in sharp contrast to the high rates of PD use in other industrialized countries, utilization of PD in the US is low and declining. PD availability is a necessary condition for PD utilization; however, little is known about the availability and geographic distribution of PD services. This study describes trends in the regional supply of PD services among dialysis facilities between 1995 and 2003