Abstract: Methods and systems are described for creating chronic vascular access or hemodialysis. These methods and systems eliminate the insertion of needles which are now required for using the available methods of obtaining vascular access. Thus multiple complications due to needle insertion through skin, tissue, and vein or graft wall are prevented. A low-profile stable transcutaneous implant's external surface and stability minimizes infection. The implant is readily joined to a connector device that functions substantially automatically and which provides high blood flow volumes for hemodialysis.