Hi I m carmen I d been suffering severe knee pain due to osteoarthritis, my doctor told me I need a knee replacement , not just pain but my legs are heavy to walk, in far distance, climb stairs, I ignore my doctor because I m scared of surgery, I feel my situation is getting worst, so I m considering this knee replacement but my major problem now is I have chronic kidney disease stage 4 , am not yet on dialysis but listed for kidney transplant, what can you say , would it enhance my kidney to have early dialysis . What advice can you give me.