What happens if a transplant kidney fails and you need to continue hemodialysis?
If a transplanted kidney fails and your own kidneys aren't working, you would return to hemodialysis to filter your blood and remove waste products. This is actually a common treatment path for people whose transplants don't work out.
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What happens if a transplant kidney fails and you need to continue hemodialysis?
If a transplanted kidney fails and your own kidneys aren't working, you would return to hemodialysis to filter your blood and remove waste products. This is actually a common treatment path for people whose transplants don't work out.
Hemodialysis can support you long-term, even for many years or decades. It removes waste, extra fluid, and toxins from your blood when your kidneys can no longer do so effectively.
Your options would include:
- Continuing hemodialysis at a center (typically three times a week) or at home (three to seven times a week)
- Being evaluated for another kidney transplant if you're a candidate
- Working with your care team to manage your overall health while on dialysis
Many people live for years on dialysis while waiting for another transplant opportunity or continuing dialysis as their long-term treatment. The average life expectancy for people on dialysis is five to 10 years, though living for decades on dialysis is possible with proper management.
Your nephrologist will help you navigate this transition and determine the best path forward for your specific situation.
December 9, 2025
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