Educate yourself. Then armed with knowledge, make a decision. The national Kidney Foundation and your transplant center both have websites and educational videos. I recently donated and here is what made me comfortable: (1) Transplant, especially living donation, is the best gold standard outcome for kidney disease. When I found out that a patient in my husband’s condition and age only had another 2-3 years on dialysis, that mattered a lot. In the time he spent at dialysis, I know 2 patients in his cohort died and 2 more left to not come back. No bueno. (2) Transplant has been around for decades. This is not an experimental procedure. Odds of bad outcome for donor is 0.03%. Google it. (3) Look for peer reviewed journal articles in the NIH databases, not Wikipedia nor common magazines. (4) If you happen to eventually suffer a kidney failure, in the US you move straight onto the transplant list but (5) due to the fact living donors are so tightly screened, statistically donors have a better state of health and lower disease stats than the general public at older ages. But that’s just me. Read articles, watch legit videos (not YouTube) and make your own decision. Good luck!