I've had both PD and HEMO dialysis, I started on PD first and did very well, I had a machine that I used at home to do the exchanges ( PD is different from HEMO in that you exchange a dextrose solution through a tube in the peritoneal cavity) HEMO uses a shunt connecting an artery with a vein and insert needles to circulate your blood through a filter to clean , I was on HEMO for 13 years and it was very taxing on my body, but I had had three prior kidney transplants......long and short of it, a transplant is always, in my opinion the best option and obviously, living donor is best but with today's technology and drugs a good cross match is what it comes down to and good doctors.