I hope none of you ever have to face this question: My cat is dying of kidney disease. I’ve done everything the vets have told me to do but she’s miserable. What else can I do to make her well?

The all-too common answer is the obvious: euthanasia. And while I'll never advocate this option without exploring every possible treatment option, make no mistake, kidney (renal) disease is a killer. It’s perhaps the single most common cause of death in cats over the age of ten. We don’t know how to prevent it or how to cure it—that is, unless you have $15,000 to $30,000 to spare.

Yet even if you had a bottomless bank account to your name, it might not be so simple to get a kidney transplant. Your cat has to be a good candidate. That means he has to be free of other diseases that might preclude surgical survival. She has to be young and vigorous enough to withstand the months of wait-time required. And then you’ve got to source a healthy kidney from a suitable donor kitty.

No, kidney transplants are not as easy as they might sound. Not that they sound like a breezy day on the beach to me, but many of my clients long only for the money to be able to make it happen. They think little of the realities inherent in bringing off this still-experimental vet school surgical technique.

Yes, kidney transplants in cats are still a tool of the future. We’ve still got a long way to go before even the hardiest sufferer might be well served for less than $10,000.

Even this week’s three year-old patient (in chronic renal failure for no good reason) is far from a candidate. This beautiful (and devastatingly sweet) Rex’s kidneys are shot. Her only hope is a lifetime of dialysis and all the care that comes with it (not available in our area)—or a transplant. Better luck next life. Maybe by then we’ll have the kind of medicine she deserves and her owners would kill for.

For now, even the luckiest kidney transplant kitties don’t have access to all they’d wish for. Their owners must often adopt a pesky youngling kidney donor as part of the package. Can you imagine? A whole new lease on life with a fresh new kidney and still you have to put up with a teenager clobbering you every time you turn the corner into the kitchen!

“There’s nothing easy about transplants,” I explain to my tearful client. Even if she had all the money in the world and she’d made it past all the health-check hurdles, I’d still beg her to think it through thoroughly. After all, being on the bleeding edge of a new treatment isn’t always all it’s cracked up to be.