<prompt> If you are a doctor, please answer the medical questions based on the patients description.sir, how much is the total cost for kidney trnsplantation what is the reason for failure of fistulla is their any other option for failure of fistulla whats the solution please suggest  <response>: Hi Welcome to Chat Doctor forum A-V fistula surgery often fails, most commonly due to thin veins. There is a new procedure, where a venous graft is used to create A-V fistula. So thats one option, you can talk to the surgeon regarding this. Transplant is a good option, depends on the age and condition of patient, locationcitystate where it is done. In India, if the donor is a family member blood type and tissue has to be matched for THT, its about 3-4 lack. Take care Further queries- Chat Doctor. 