Objective: To improve nutritional status using percutaneous endoscopic gastrostomy feeding (PEG).Design: Case study.Main Outcome Measure: Dietary intake, body mass index, serum albumin, serum urea, and mid-arm circumference.Results: Over the 6 months post-PEG, the patient regained weight lost (12 kg), body mass index increased from 19.3 kg/m 2 to 25.0 kg/m 2 , serum urea levels increased from 11 g/L (66 mg/dL) to 22 g/L (132 mg/dL), serum albumin levels increased from 25 g/L (2.5 g/dL) to 31 g/L (3.1 g/dL), and mid-arm circumference increased from 27 to 28 cm.Conclusions: PEG feeding in continuous ambulatory peritoneal dialysis (CAPD) can be a successful nutritional strategy, but is not frequently used in adult CAPD patients. This case shows a possible alternative means of dealing with malnutrition in the CAPD population.