If you've ever thought about doing something extraordinary — this might be it.
Simon van Gend, Cape Town
I'm 57, and I live in Observatory, Cape Town, with my girlfriend Kyle and our dog Maggie. I'm a singer-songwriter with a regularly performing band, and by day I work in publishing — doing typesetting and layout for school textbooks. I also paint watercolours, and once a week I climb Table Mountain with a group of friends.
By most measures, I'm fit and healthy. But I have advanced chronic kidney disease. My GFR — the measure of how well my kidneys are functioning — is currently 8, which is critically low. A healthy kidney functions above 90.
I've been living with this for the past couple of years, and I've reached the point where a transplant is the path forward. There is no other fix.
I'm not looking for sympathy — I'm looking for someone who might be willing to give me a chance at a fuller life. If that's you, or someone you know, I'd love to hear from you.
Donating a kidney is a significant decision. Here are the key facts, honestly presented.
You only need one healthy kidney to live a completely normal life. Donors go on to live with the same life expectancy as non-donors.
Most donors return to desk work within 3–4 weeks and full physical activity within 4–6 weeks. Surgery is laparoscopic (keyhole) at most centres.
No payment is made or accepted — it is illegal under South African law. This appeal is purely altruistic.
All medical costs — evaluation, surgery, and follow-up care — are covered. You will not be out of pocket.
The first step is blood type. My blood type is:
If your blood type is B or O, you could potentially be a match. Blood type is just the first filter — a full medical evaluation would follow, at no cost or obligation to you. You can stop the process at any point.
If you're unsure of your blood type, a simple blood test will tell you. Your GP can arrange it, or many pharmacies offer testing.
There are two routes that can make donation possible even across blood type barriers:
Plasmapheresis — a medical process performed on the recipient (me, not the donor) that removes the antibodies causing the incompatibility. This can sometimes allow a transplant to go ahead between mismatched blood types. The transplant team can advise whether this is suitable in a given case.
Kidney exchange programme — South Africa has a paired kidney exchange programme, where an incompatible donor-recipient pair is matched with another pair in the same situation. Your kidney goes to someone you're compatible with, and I receive a kidney from someone compatible with me. Everyone benefits, and your gift is just as real. The transplant team can provide full details.
So even if your blood type rules out a direct donation, please don't let that stop you from getting in touch — it's worth exploring.
Want to hear from real South African donors and recipients? Read transplant stories at TELL → — a South African non-profit dedicated to organ donation awareness.
The process is careful, thorough, and at every stage — voluntary.
Send me an email or fill in the form below. There's no commitment involved — just a conversation. I'll answer any questions you have honestly.
If you'd like to proceed, you'll be referred to the transplant team. They'll do a blood type check and basic health screening — completely free of charge.
If initial tests look positive, the team conducts a thorough workup — blood tests, scans, a consultation with a psychologist, and an assessment by an independent doctor whose only job is to protect your interests as a potential donor.
For non-family donors, the case is reviewed by the transplant panel and then submitted to the Department of Health's advisory committee. The transplant team manages this process.
If all goes ahead, surgery is typically laparoscopic — minimally invasive. Most donors are home within 2–3 days and back to normal life within a month.
Whether you want to ask a question, find out more, or think you might want to be considered as a donor — I'd welcome your message. There's no pressure and no obligation.