Hi Diane,
Welcome to the boards! It's nice to see you post. I'm 4-1/2 years post transplant and have never had a rejection episode myself. I've had lots of drug side effects (but not gout) including many of the ones you mention plus a few others. I do take predisone myself which has led to quite a weight gain but I also consider all of my side-effects to be a small price to pay.
When it comes to what my transplant centre wants me to do, I always let them make the decision. They're the experts!
I spent a year on dialysis after having one kidney removed, while I waited for my donor to be tested and approved. Actually she was approved after 9 months of testing and then we had to wait 3 months for the scheduled surgery.
Dialysis is a challenge and a tough lifestyle! I have to say though that looking back, I'm glad I did it. I gained alot of perspective and experienced alot of personal growth as a result. I found out what a truly strong person I am and my hat is off to anyone who does it long term.