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Chronic Kidney Disease (CKD) prevalence studies has been carried out in various parts of the world including Pakistan. Unluckily, the majority of these studies focused on the urban settings, neglecting the rural areas. current study has found very serious outcomes about CKD prevalence in remote areas. CKD was found gender specificity as well as geo-specificity in prevalence of CKD. PURPOSE: Aim of this study was to assess CKD prevalence in the least accessed and underdeveloped areas of Pakistan. METHODS: The area of study was Bahawalpur Victoria Hospital (BVH). Bahawalpur. The study was carried out between January 1, 2018- December 31, 2019. STATISTICS: All statistical parameters were calculated with the help of MS Office 360, GraphPad Prism 8, and SPSS 16. RESULTS: The most vulnerable locales were hinterland and underdeveloped regions. When we demarcate our studies putting focus on the gender, we found that male gender was more susceptible to the disease than the female one. Quinquagenarians were found to be among those most affected. Whereas octogenarians were among those with the least affected ratio. CONCLUSIONS: We reach the conclusion that since rural areas being the ones most affected, there is dire need to enhance the gambit of research to a higher level.