The purpose of this document is to provide a summary of the current expert opinion and recent literature for clinicians, Indigenous health workers and patient advocates interested in Kidney Supportive Care (KSC) in Australia and New Zealand. Our purpose is not to duplicate the recently released International Society of Nephrology (ISN) KSC/Conservative Kidney Management (https://academy.theisn.org/products/kidney-supportive-care-and-conservative-kidney-management-curriculum#tab-product_tab_overview), but to present an Australian and New Zealand perspective on this emerging field. A key focus of this document is to highlight patients' perspectives on this topic. The document refers to adult patients living with advanced kidney disease (Stages IV and V chronic kidney disease).