Study aim: Comparison of the effect of aromatherapy with Salvia officinalis and topical lidocaine gel on pain intensity during insertion of vascular needles in patients undergoing hemodialysis Design: This study is a clinical trial before and after. The sampling was done in the available method and 23 patients were randomly selected in 3 step: without intervention, intervention with topical lidocaine gel, and intervention with aromatherapy with Salvia officinalis from hemodialysis patients referred to the hemodialysis section. Settings and conduct: From the hemodialysis patients referred to Allameh Bohlool Hospital in Gonabad, the patients who have entry criteria, 23 patients were selected and The written consent was taken and at the first step, for them a demographic questionnaire and visual analog scale without any intervention after insertion of vascular needles at the part of fistula or graft, completed and the second step, intervention with topical lidocaine gel was performed and the intensity of pain was measured immediately after needle insertion by visual analog scale. And in the third step, an intervention with aroma of Salvia officinalis on the samples is done and the pain intensity will be measured. Participants/Inclusion and exclusion criteria: The population under study are hemodialysis patients who experience needle pain and should be: over 18 and alert, have a good smell and lack of sensitivity to herbal and non-addictive narcotics and Alcohol and non-compliance conditions including severe allergy during the study and dissatisfaction for the continuation of the study. Intervention groups: intervention in three steps: without intervention and intervention with topical lidocaine gel and intervention with aroma of Salvia officinalis. Main outcome variables: The intensity of the pain caused by the entry of vascular needles at the fistula or graft in patients undergoing hemodialysis.