A patient with kidney failure who is blood type O can only receive a kidney from another blood type O donor. There are experimental trials to use ABO incompatible donors and the recipient is then treated with gamma globulin infusion, plasmapheresis and immune suppression drugs. This is very costly and still has significant risk of failure. A kidney transplant is always better, if it can be successfully carried out. Successful transplantation will double the life expectancy as compared with someone who remains on dialysis treatments.
For further information about living donor kidney transplantation, you can visit our web site at: https://www.kidney.org/transplantation/livingdonors