Gene therapy uses a patient's own blood to insert good beta globin genes into the patient, where they can multiply and produce good red blood cells. The preparation is similar to that for a BMT, using chemo, and has all the same side effects, although this may change with new preparations being developed. There is no risk of graft vs host disease in gene therapy, as no foreign cells are introduced, so it is not the same as BMT afterwards. The cost looks like it will be very high, but once it gets to India, I imagine that will drop quite a bit. I have no idea about how long it will take, as it is not yet approved anywhere.