The experience of 135 centres participating in the International Pediatric Peritoneal Dialysis Network with regard to children with ventriculoperitoneal shunts (VPS) on peritoneal dialysis has been collated to inform best practice. Among the 18 patients with concurrent VPS and peritoneal dialysis catheters, the peritonitis rate was one in 19.6 months. No infections or complications of catheter dysfunction were reported, suggesting that VPS should not preclude peritoneal dialysis in children.