Fatigue is the most common symptom reported by patients undergoing hemodialysis. This study aimed to investigate the effect of foot reflexology massage and hand fatigue patients on dialysis; and if approved foot and hand reflexology massage effect and compare the two methods in reducing fatigue in patients undergoing hemodialysis and if the results are equal foot reflexology massage hand, because of its convenience for patients and nurses, and also teach patients to use this method, you can place the palms reflexology massage foot reflexology massage can be used to reduce or eliminate fatigue in these patients. This study is a randomized clinical trial in men and women in the study population hemodialysis Hashemi Nejad Hospital Tehran, Iran. Random assignment in three foot reflexology massage, reflexology massage and hand control is performed. Reflexology massage for test procedures and duration of the program is described. In the intervention group for the 3-point massage, reflexology foot and hand reflexology, including the pituitary gland, solar plexus and the kidney is performed. On each of these points reflexology are a total of 3 minutes on both feet and both hands for about 20 minutes takes. Foot and hand reflexology massage 2 times a week, each session lasting 20 minutes and 5 weeks is done by a trained researcher. After the end of the third week and the fifth week fatigue set the scale to be completed by both groups. After completing this scale, according to the scores obtained, tired in the classification of patients: fatigue, mild (39-10), moderate fatigue (54-40) and fatigue (70-55) placed.