For almost the first time in her 29 years, Shayla Herman feels like she can plan for her future.
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Until early this year, the young woman's weeks were defined by tri-weekly dialysis appointments which she endured for almost a decade.
That changed when she received a life-changing kidney transplant.
Mrs Herman, of Tasmania, said it was a gift she couldn't begin to express her gratitude for.
"I was on dialysis for... almost my entire twenties," she said. "I was existing, I wasn't living at all."
"Now, we're able to move forward into hope, and a future."
It's been a long road for Mrs Herman, with her kidney function having declined gradually until a steep drop escalated the situation.
At one stage she almost lost her life due to a fluid overload which resulted in her lungs being filled up, and goals like holidays, a career, family ambitions have all felt out of reach.
Now, she and her husband are preparing for a visit with family in Victoria, and her mental state has improved out of sight.
"It's just amazing. I feel really free," she said.
"I just have so much hope now. I think of my donor every single day, what they've done for me."
A mountain of support
Mrs Herman wanted to acknowledge the other donations that come into play for surgeries such as the one she underwent - like the life-saving blood and plasma she required, as well as recognising the impact of loved ones giving permission for the organ donation to occur.
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"It's a big combination of a lot of people donating," she said. "I will never, ever forget. I am so grateful to them, and their family.
"I have a really deep love and respect for (my donor). I felt that as soon as I woke up."
I just have so much hope now. I think of my donor every single day, what they've done for me.
- Shayla Herman
Mrs Herman said she also wanted to say a heartfelt thank you to those who had supported her over the years and since her surgery, with recovery not immediate after the transplant.
"I wouldn't have lasted much longer on dialysis," she said.
"I'm just so grateful for everything."
More life-changing donors needed
Davin Hibberd, executive officer for DonateLife, said while Tasmania's rate of registration for organ donation was above the national average (50 per cent versus 36 per cent) there was still more to be done.
"For around 1750 Australians currently on the organ transplant waitlist, it can be a matter of life and death," he said.
"There are also an additional 13,000 people on dialysis who may benefit from a kidney transplant.
"It doesn't matter how old you are, your medical history, your lifestyle, what country you're from or how healthy you are - you can still register as an organ and tissue donor."
Mr Hibberd said he also wanted to thank the more than 5000 Australians who became organ donors since the DonateLife program first began, and their families.
This year, DonateLife is running 'The Great Donation Race' to encourage up to 100,000 more Australians to register as organ and tissue donors.
To register to be an organ donor or to learn more, visit donatelife.gov.au.