Renal failure patients demanding AV access creation for Dialysis has been growing in huge numbers and the life expectancy has also been improved by the present treatment facilities. We performed transposed brachiobasilicarteriovenous fistula (TBBAVF) in single stage on 28 patients from July 2016 to June 2017. The operative time was 90?120 minutes. All patients had edema of the upper extremity that lasted for 3 to 4 weeks and 6 patients had wound complications but of less severity. Major complications were not seen. The primary patency rates at 6 months and 1 year were 100 % and 89.3% respectively. TBBAVF has good primary patency with less severe complications.