Dialysis or kidney transplantation is necessary, when renal functions are below 15% of normal ranges in a patient with chronic renal failure. Kidney transplant should be primarily considered and opportunities should be investigated for all patients without contraindication. Dialysis therapy saves the life of dialysis patients and ensures survival. However, it is also associated with various complications, primarily injury of veins in the course of time. Therefore, transplant surgery before dialysis is superior regarding kidney and health of person.