Dialysis, especially dialysis done at home, is a way to stay alive and feel well until you get a kidney transplant. There are many different responses to dialysis, but in general, most folks who start dialysis feel much better and are able to lead normal lives for the most part. I believe that home dialysis patients feel the best. Transplantation is the ultimate goal and doing dialysis is a way to stay healthy enough to get a kidney transplant. You and your nephrologist will make the decision about when to start dialysis and then hopefully transplantation follows soon after.