Neonatal AKI (NAKI) remains a challenge in low- and middle-income countries (LMICs). In this perspective. we address issues of diagnosis and risk factors particular to less well-resourced regions. The conservative management pre-kidney replacement therapy (pre-KRT) is prioritized and challenges of KRT are described with improvised dialysis techniques also included. https://parisnaturalfoodes.shop/product-category/konjac-rice/