Daniel Matsoso, 49, from Alexandra, Johannesburg, received a life-saving kidney transplant more than two decades ago and continues to inspire others through his journey.

1. Which organ did you receive, and in what year?
I received a kidney transplant in 2002 from a deceased donor.

2. How long were you on the waiting list for your organ?
I spent 4.5 years on the list.

3. What was life like before the transplant How did you spend your days?
Before falling ill, I was a passionate long-distance runner and proudly earned my provincial colours in cross-country and track for the 5km and 10km events. Running was my life until End Stage Kidney Failure forced me to stop. My skin changed colour, became extremely itchy, and I felt constantly exhausted. After many doctor visits, I was diagnosed with End Stage Renal Failure — likely caused by prolonged dehydration from years of intense running.

Dialysis felt like a prison sentence — three sessions a week, four hours at a time. It was difficult to accept, and the strict fluid limits and restrictive diet made life even more challenging.

4. Describe the emotions experienced when you received “The Call” for your transplant? 
It was third time lucky for me. I had been called twice before, only to have the kidney go to another patient. When the third call finally came, I felt both excited and scared; knowing how many patients face rejection after a transplant.

5. What is life like now, after the transplant?
My recovery after my transplant was remarkably quick. Not long afterward, I found a job in the hospitality sector and, most importantly, rediscovered my passion for long-distance running. Driven by gratitude, I became involved with the Gauteng Kidney Association and served on the GTSA Management Committee, giving back to the community that had supported me through my journey.

The transplant gave me far more than a second chance at life — it opened doors to travel the world, meet other transplant recipients, and compete internationally. As a proud member of the South African Transplant Team, I represented my country at the World Transplant Games:

2007 Bangkok – Silver (800 m, 1500 m) & Bronze (5000 m)
2009 Australia – Silver (1500 m, 5000 m)
2011 Sweden – Gold (800 m) & Bronze (5000 m)
2013 South Africa – Gold (800 m, 1500 m, 5000 m)
2015 Argentina – Bronze (5000 m)

Running has always been my passion, and the Comrades Marathon became one of my proudest undertakings. From 2008 to 2015, I lined up at the start every single year — eight consecutive years — and earned medals in 2008, 2009, 2010, 2012, 2013, and 2014. Each race was a testament to perseverance, discipline and the gift of a second chance.

Today, I continue running to stay fit and healthy while actively educating others about kidney health, the importance of early screening, and living a healthy lifestyle. My journey is proof that with determination, support and a little courage, life after transplant can be vibrant, meaningful and full of possibility.

6. What advice would you give patients on the waiting list?
Keep believing, stay on your treatment plan, and never let go of hope.

7. Why do you think there is a shortage of donors in South Africa?
Awareness can’t be limited to August’s Organ Donation Month; we need ongoing education, especially in rural areas.

8. If you could describe transplant in one word, what would it be?
Life-changing