Background: Hemodialysis (HD) is a viable and widely prescribed therapeutic option for older adults with End Stage Renal Disease. Even though anxiety is one of the most common difficulties that HD patients face and frequently linked to depression, a lower perceived quality of life, and a lack of therapeutic adherence. As non-pharmacological therapies are safer to use in the management of geriatric patients' disorders, implementing of such approaches to reduce anxiety levels is a worthwhile goal for the gerontological nurse. Aim: This study aimed to determine the effect of lavender oil inhalation versus acupressure on anxiety level of geriatric patients undergoing hemodialysis. Design: A quasi-experimental research design was utilized.