On the basis of published literature and some original observations a comprehensive review is presented of the current concept of renal diseases in the fowl. All aspects of this important but much neglected subject are considered including autolysis, intoxications, inflammatory and degenerative conditions, specific viral diseases, gout, congenital abnormalities and neoplasms. The aetiology and pathogenesis of some forms of avian kidney disease are well understood but there are large gaps in our knowledge on others.