Understand the specialty
Clinical Overview and Direction
A liver transplant is a life-saving surgical procedure that replaces a diseased or failing liver with a healthy liver from a deceased or living donor. This complex operation is typically considered when severe liver disease can no longer be managed with medication or other treatments, offering a renewed chance at life and significantly improved long-term health.
Diagnostics and Useful Records
Complete records help the clinical team prepare a more useful opinion before travel.
Comprehensive blood tests (including liver function, blood type, and clotting factors)
Abdominal ultrasound to assess liver size and blood flow
Computed Tomography (CT) scan for detailed anatomical imaging
Magnetic Resonance Imaging (MRI) of the abdomen
Echocardiogram and EKG to evaluate heart health
Pulmonary function tests to assess lung capacity
Infectious disease screening (HIV, Hepatitis, etc.)
Psychological and social support evaluation
Nutritional assessment
Treatment Approaches to Discuss
Treatment depends on the confirmed diagnosis, overall health, investigations, goals and specialist-team assessment.
Deceased donor liver transplantation
Living donor liver transplantation (partial liver transplant)
Split liver transplantation
Post-transplant immunosuppressive therapy
Management of acute or chronic rejection
Antiviral treatments for underlying hepatitis post-transplant
Nutritional rehabilitation programs
Physical therapy and rehabilitation
Selecting the Right Specialist
When selecting a liver transplant center and specialist, it is vital to look for a multidisciplinary team with extensive experience in both the surgical procedure and long-term post-transplant care. Seek out centers that perform a high volume of transplants annually, as this is often associated with better outcomes. Important factors to consider include the availability of living donor programs, the center's survival rates, and the comprehensiveness of their support services, such as nutritional guidance and psychological support. For international patients, it is also beneficial to choose a facility with a dedicated international patient department that can assist with travel arrangements, language interpretation, and coordination of care upon returning home.
Preparing for Evaluation
Preparing for a liver transplant involves a thorough and multidisciplinary evaluation process. Patients will undergo extensive medical testing, including blood work, imaging, and cardiac assessments, to ensure they are healthy enough for major surgery. You will meet with surgeons, hepatologists, dietitians, social workers, and financial counselors. It is essential to strictly follow medical advice, which may include adopting a specific diet, quitting smoking, abstaining completely from alcohol, and managing existing conditions like diabetes or high blood pressure. Staying as physically active as your condition allows and maintaining a strong support system of family or friends are also critical components of preparing for the transplant journey.
Recovery and Continuity of Care
Recovery after a liver transplant is a gradual process that requires patience and strict adherence to a medical regimen. Immediately following surgery, patients typically spend several days in the intensive care unit (ICU) before moving to a regular hospital room, with a total hospital stay usually ranging from one to three weeks. After discharge, frequent follow-up appointments and blood tests are necessary to monitor the new liver's function and adjust medications. You will need to take immunosuppressive (anti-rejection) medications for the rest of your life to prevent your body from rejecting the new organ. Full recovery can take up to a year, during which time you will gradually regain your strength, rebuild your immune system, and return to normal daily activities under the close guidance of your transplant team.
Discharge summary
Medication plan
Remote follow-up
Questions to Ask the Clinical Team
1What are the specific risks and potential complications associated with my liver transplant?
2Am I a candidate for a living donor liver transplant, and how does that process work?
3How long might I expect to wait for a deceased donor liver?
4What lifestyle changes must I make before and after the surgery?
5What will my medication regimen look like after the transplant, and what are the side effects?
6How frequently will I need follow-up appointments in the first year?
7What signs of organ rejection or infection should I watch out for at home?
8How will the transplant team coordinate my care when I return to my home country?