PHOTO: Man lies on the pavement in Yarmouk, Damascus, February 2014 (Getty/Anadolu)

Syria Direct features the stories of Fadi a-Salamah, who sold a kidney for the survival of his family after they fled to Damascus, and of the Damascene woman who bought it.

The Seller

Why did you decide to sell your kidney?

In November, the regime shelled Mahin because Islamic State fighters were in the town. Everyone fled the city. Some went to border camps, but I went to Damascus with my family because I don’t want my kids living in a camp.

After the regime took Mahin, it burned down civilian houses.

I lost my clothing store and all of its products. When I arrived in Damascus I had about SP400,000 ($2,000) with me. My wife also had some gold.

We stayed with a relative for a month. Then we rented a furnished house in Muhajarin and paid SP25,000 ($116) a month. I looked for work for two months until I found a job. I worked for four months at a fast food restaurant and took home SP450 ($2) a day. Since I worked the night shift, I came home at 3am.

Once when I was on my way home, I got stopped at a checkpoint and interrogated about where I had been. I was scared so after that I began looking for another job. I didn’t find anything.

Now I don’t have any work and we spent all of the money we brought with us. The landlord wants the rent. He’ll kick my children and me out of the house. My kids are young. The oldest is only six years old.

I don’t receive aid from any charity since I’m young and technically still able to work.

Syria is at war. I have a family that needs to eat and drink. They need clothes. And it’s my duty as a father to provide this for them. One of my sons is nine months old and he needs milk.

I need to pay rent, I have no work, things are expensive and I’m scared that I’ll be arrested or I’ll die in an explosion and leave my family.

I’m at the end of the line. Then I heard that someone needed a kidney and that he’s willing to pay a generous amount.

How did your family respond?

My wife strongly opposed the idea. She started crying and told me that we can live in the streets. She said not to sell my kidney because health is more important than money.

But I still insist on selling it. We’re going to die anyway — from hunger, an explosion or a bomb. Or they’ll arrest us and we’ll serve in the army. Or I’ll get accused of something.

How much did you ask for? How many people contacted you before Um Jamal?

I asked for $4,000 in American dollars, not Syrian pounds, since the pound is always dropping. [Before the agreed deal] I received two offers. One person offered $2,000 and another person proposed $2,800.

Are you afraid that something will go wrong during the operation?

Of course I’m scared. Everything you want to do has a huge cost, because with any small mistake, you’ll be gone. I feel like we’re already dead. What God has decided will happen. If I died, at least I secured some money for my children. That’s better than dying with nothing.

Are you sure you want to live the rest of your life without a kidney?

Many people have lived with one kidney and nothing happened to them. War made us hate everything in the world. We no longer desire things. The citizen is the most worthless thing in this country. He’s worth less than a kilo of tomatoes.

We don’t even get enough water and electricity all of the time. I have to pay rent and provide for my family and things are expensive. And you’re asking me if I’ll change my mind?

Why don’t you leave?

Where will we go? To a camp in the desert where I’ll wallow in shame and defeat?

No, I’ll sell my kidney and all of my organs. I’ll die before seeing my kids living in disgrace in the desert camps.

Selling your kidneys is a crime. Are you afraid of breaking the law?

Law? What law? Where is the law when people die of hunger? Where will the law be when my kids and I are on the street because I didn’t pay rent? There’s no more law in Syria, there’s nothing left except for death and sadness and despair. Come here and see how people are experiencing tragedies, people who have bigger problems than selling a kidney.

The Buyer

Tell me about your health. Why do you need a kidney?

My health has deteriorated. I used to do a kidney dialysis weekly but a month ago my doctor said he could no longer do it because they’ll stop working.

I really need a new kidney.

My children’s tissues don’t match, so I had to search for someone who was willing to sell his kidney. My doctor said that several people who want to sell their kidneys run medical tests about their tissue match and they leave their numbers in the hospital for someone to contact them.

Is that how you found Fadi?

I got his number from the hospital, along with a big list of people who were selling their kidneys. When we showed the tissue report to the doctor, he said that we were 100 percent compatible. I could barely contain my joy. I was so happy because I had contacted many people and always ended up with negative results.

At the same time, I feel guilty because I’m taking advantage of someone’s financial need.

Did you and he agree on a price?

Fadi asked for $4,000 in addition to paying the costs of the tissue analysis he ran. He asked for the money in American dollars since the value of the Syrian pound is falling.

I asked him to lower his price, but he refused. I need a kidney and in my opinion it’s his right to ask for that amount.

Are you afraid of any complications during the surgery?

My kidneys have stopped working. If I don’t get this surgery, then I’ll die. If there are any complications, well, I did my part and the rest is up to God.