Objective To establish a non-routine autogenous arteriovenous fistula by the vascular～transposed operation in forearm for hemodialysis and observe its clinical effect. Methods To use the following three methods as transposing basilic vein and radial artery in forearm or anastomosing the two vascular to establish some non-routine autogenous arteriovenous fistula. Results We have done 93 operations, which were all successful, the rate of usage is 97.8%, the fistula's flow capacity was up to 180～250ml/min. During 1～3 years, the patency rate of transposed-Radial artery is higher than the other two methods. The mainly complications in vascular-transposed operation are infection(1.1%), thombsis(4.3%), anastomotic stenosis (1.1%) and varicosity (5.4%). The patency rate during 1～3 years is 84.9%, 73.1%, and 62.4% respectively. Conclusion The transposed forearm-vascular autogenous arteriovenous fistula is technically feasible in most cases, it can be used in the patients who have undergone vascular-access procedures. If the normal fistula cannot be established, the transposed forearm-vascular arteriovenous fistula could be better than elbow-fistula, upper arm-fistula, and PTFE graft-fistula. It is a second selection to establish arteriovenous fistula.