The study explored the survival journey of long term dialysis patients which is described by their circumstances and experiences. It uses a grounded theory approach as its methodology. The respondents of the study are dialysis patients who have been on dialysis for more than ten years. The theory that has emerged from the study is that in order to survive the dialysis journey the patients must possess four elements. Personal, Spiritual, Economic and socio cultural. All of these components are interdependent with one another which means that a dialysis patient can effectively endure his or her condition when all of these four components are existing. The personal component would discuss particular attitudes and behaviors that are controlled by a dialysis patient that would help him survive his dilemma. Next is the economic component, this would refer to finances in forms of support from the immediate and external support. Thirdly is the socio-cultural component, this is the support provided by the family, relatives and friends and lastly is the spiritual component. This has something to do with the steadfast faith of the patient on divine intervention.