Observations show that, at the beginning of their existence, neutron stars are accelerated briskly to velocities of up to $1000$ km/s. We discuss possible mechanisms contributing to these kicks in a systematic effective-field-theory framework. Anomalies of the underlying microscopic theory result in chiral transport terms in the hydrodynamic description, and we identify these as explanation for the drastic acceleration. In the presence of vorticity or a magnetic field, the chiral transport effects cause neutrino emission along the respective axes. In typical scenarios, the transport effect due to the magnetic field turns out to be strong enough to explain the kicks. Mixed gauge-gravitational anomalies enter in a distinct way, and we also discuss their implications.