Nature Reviews Nephrology, Published online: 15 June 2026; doi:10.1038/s41581-026-01089-7In this Consensus Statement, the authors provide clinical practice recommendations for the diagnosis and long-term care of people with cystinosis. In addition to cystinosis-associated kidney complications, they also provide recommendations for the management of extra-renal manifestations, including bone, gastrointestinal, endocrine and neurological disease.