Background: Chronic kidney disease and Acute kidney injury are consuming a huge proportion of health care finances in developed countries. Both chronic kidney disease and acute kidney injury contribute significantly to morbidity, mortality and decreased expectancy of life in the developing world. Sensorineural Hearing Loss (SNHL) has been reported in chronic kidney diseases (CKD) patients, with a prevalence of over 30%. Objectives: To assess degree and type of hearing loss in CKD patients undergoing hemodialysis and to compare the hearing threshold before and after hemodialysis procedure. To assess the relation between hearing loss and duration of renal disease, age, gender. Methodology: The relevant clinical history was taken as per proforma which mainly included history of ear infection, ear surgery, duration of renal disease, use of ototoxic drugs, duration of illness, dosage of diuretics, history of hypertension and diabetes, occupation to know if there was any exposure to loud sound. Result: The severity of hearing loss increased with duration of disease. Most cases where the duration of disease was less than 1 year, had mild hearing loss whereas majority of the cases with moderate or severe hearing loss was suffering from CKD more than 1.5 years. The severity of hearing loss increases with duration of renal illness and it was statistically significant. Conclusion: The severity of hearing loss increases with duration of illness. Majority of patients having CKD more than one year showed mild or moderate hearing loss whereas majority of patients having CKD more than one and half year. Haemodialysis causes hearing loss and in every session of dialysis the hearing loss increases. Hence there is definite association between hearing loss and hemodialysis.