My husband is one month post transplant (tomorrow 🙂 ) and I can confidently say 1000% transplant. Dialysis keeps you alive while waiting for a transplant but it does not keep you thriving. Blood pressure complications, risk of infections, increasing exhaustion, dietary restrictions were all things we battled with dialysis. A transplant does have its risks of course but the same goes for dialysis. The longer he was on it, the more ill effects we saw. Just one week post transplant, my husband feels better than he has in years if that is any indication of the incredible gift it is. For frame of reference, he has Iga and his sister was a perfect match live donor. Good luck to you as you navigate these decisions.