(CNN) -- The second Aya abu Mouwais opens her eyes she starts crying. The three-year-old is in pain every waking moment and has been for two years.
She is suffering from oxalosis, a condition which occurs when the kidneys fail. Doctors in Israel say if the Palestinian girl doesn't have a liver and kidney transplant she could die within months.
Aya's mother Suhair wakes her gently. The pain in Suhair's eyes is clear with each of her daughter's sobs.
"It is so hard for me to see her like this," she said. Aya also has a broken arm, the dialysis she needs five days a week has made her bones brittle.
At sunrise, they leave their house in a northern West Bank village. The dialysis Aya needs is not available in any Palestinian hospital so Aya's father, Iyad, drives his wife and child to the border between the West Bank and Israel.
"This is very difficult, this is my child, my daughter," he said. "I drive them as far as the checkpoint then go home because we have other children to look after, two in school and two still toddlers".
Suhair said: "I have an eight-month-old baby. I have to leave him everyday. Imagine how difficult that is for him and for me". CNN