@mgol I had a BMT late last year. I was 71 and turned 72 while recovering. I am 5 months past the transplant and still recovering. My MDS started progressing around 2 years after diagnosis in 2023 even though my blasts were low like your mom's. I did not have the dual diagnosis like your mother. Yes, recovery is higher risk for our age group. Many institutions have strict age cutoffs, typically 75 for BMT, while others do not. I don't know if your Dr is at an MDS center of excellence? You might want to check. I had platelet transfusions when my platelets were below 10, but I was in the hospital at the time. Prayers to your mom! I know this is a difficult decision for her.