A survey was conducted among dialysis physicians in Tochigi Prefecture regarding the discontinuation or withholding of dialysis and kidney palliative care. Thirty-five questionnaires were sent to 21 facilities, and 20 (57.1％) valid responses were received. Eighteen respondents (90％) said they had experience of conservative kidney management (CKM). They also had experience of withdrawing patients from dialysis. Fourteen (70％) had used opioids to relieve symptoms in patients with end-stage renal failure. Seventeen (85％) agreed that palliative care should be provided to patients with end-stage renal failure. Many dialysis physicians had experience of CKM and withdrawing patients from dialysis, and were willing to provide palliative care.