A kidney transplant is a form of treatment for end stage kidney disease (ESRD). A transplant potentially offers a longer, more active life, free from dialysis. One can have a transplant if medically suitable. In general patients should be free from major organ damage other than kidney failure to be considered for transplantation.Transplant kidneys come from either a living donor or a deceased donor. If the transplant is from a suitable living donor, the operation can be done before you need dialysis. The average wait for a kidney from a deceased donor is about three to four years depending on blood group type. after transplantation one needs to take immune suppression medication for life to prevent rejection. Due to these medications one becomes vulnerable for many infections. Hence it is important continue to see your specialist to balance medication to maintain safe and rejection free graft ( transplant kidney).