Yes I have looked into the pros and cons. They told me that I would get better D if I had a fistula but my blood work is so good that my doctor said as long as it stays the way it is he won't push the issue anymore. I still have make urine...so much I swear at times my kidneys work! I know it sounds selfish but I just don't want to take the risk of having a huge lump in my arm at 23. I guess I sort of feel like that is one thing I have control of. Its silly, mom yells at me all the time and I know my BF wouldn't care but I care. I told my doctor if I don't have a transplant when the 2 year mark hits that I would consider it. I will definitely ask my doctor about button holes!