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Hello there archambault564,
First of all I am so sorry that your cousin is suffering with kidney problems which are so serious that he needs transplantation.
Dialysis is very helpful with those conditions and the difference between them has been well explained by oswald1805 so there is no need to repeat the same thing. Of course all additional information about the better choice and the whole procedure itself you will need and get from his doctor. And this is not something that your cousin should be terrified of because this is the procedure that will help him to do what his kidneys are not capable of anymore.
Keep us posted about the situation and I hope that your cousin will get new kidneys soon.
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