A qualitative study performed at a hemodialysis clinic in the interior of Paraná. Semi-structured interviews were used to look at significant situations for chronic renal patients, experienced in the space and context of hemodialytic treatment. The results indicated difficulties associated with the communication process, causing discomfort and a feeling of helplessness, especially at the beginning of the treatment. It was shown that importance was assigned to the family, to the relationship with the other service users and with the members of the health care team, as a way of contributing to the recovery and adaptation process, amidst the adversities imposed by the disease and treatment. Aspects related to the presentation, esthetics and cleanliness of the environment also emerged as factors that interfere in client satisfaction.