Twenty years of world kidney day; a review of its mission and milestones

World Kidney Day (WKD), established in 2006, marks a pivotal milestone in 2026 as it celebrates its 20th anniversary. This event was first observed on March 9, 2006, as a joint initiative of the International Society of Nephrology (ISN) and the International Federation of Kidney Foundations (IFKF), now known as the International Kidney Foundation – World kidney alliance (IKF-WKA). The primary objective was to raise global awareness about the increasing burden of kidney diseases and to promote preventive behaviors and equitable access to care. Since its inception, WKD has grown into a powerful global movement, celebrated annually on the second Thursday of March by several countries across six continents. As WKD approaches its 20th anniversary in 2026, it offers a timely opportunity to reflect on two decades of achievements, challenges, and lessons learned. Over the past two decades, WKD has evolved from a modest awareness initiative into a globally recognized health campaign, uniting healthcare professionals, policymakers, and patient advocacy groups in the efforts against kidney disease. Finally, this event highlights the importance of addressing chronic kidney disease through awareness, prevention, screening, and comprehensive management to improve outcomes and reduce the global health burden of kidney disease.