<s>[INST] i am writing from dhaka. one of my relatives has been suffering from kidney problem. he has been getting dialysis weekly here through fistola. he would like to have low cost better teatment from kolkata. he is from a middle class family. pl suggest.............. [/INST] Hi welcome to Chat Doctor. You have not mentioned which kidney problem is present in your relative ... Mostly it will be chronic renal failure in which kidney not able to do filtration effectively, so weekly dialysis needed here..... The best option that can be considered in end stage kidney failure is transplantation... But it is costly as well as donor might not readily available that match your HLA... As such only these two are proved and effective treatment if chronic renal failure present ...Lifestyle change with diet modification useful... Natural therapy, some herbal products available for CRF..... Take care Advise : Nephrologists consultation for examination and further discussion for alternative management if dialysis can't affordable . </s>