Pediatric Liver Transplant Evaluation

Step One: Transplant Evaluation

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Your child will undergo a complete evaluation to determine if a liver transplant is the best treatment for them. During the two-day process, they will undergo medical tests and meet with doctors, nurses, a social worker, a financial counselor, and others. Our transplant coordinator will explain the transplant process and answer your questions. We strive to give every child this opportunity and do not turn away difficult cases that other centers may not have the expertise or experience to accept.

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Meeting the Transplant Team

During the evaluation, you and your child will meet with multiple specialists, including a pediatric hepatologist, transplant surgeon, and infectious disease specialist. You will also meet with a transplant coordinator, a financial counselor, a dietitian, a social worker, and others. 

Is Your Child Ready for an Evaluation?

If you want to make an appointment for a pediatric liver transplant evaluation for your child, contact us. Our team can help with next steps.

Physical Exam and Tests

Your child will undergo a physical exam and one or more of the following tests:

  • Blood tests
  • Imaging tests (ultrasound, X-rays, and others)
  • An EKG and echocardiogram 
  • A liver biopsy 

Our Locations

Liver transplant surgery is performed at Duke Children's Hospital and Health Center. Pre- and post-transplant appointments take place at our liver transplant clinic within Duke Children's.

Transplant Education

You and your child will participate in transplant education to learn more about the process and expectations, the medications your child will need, how to address your child’s physical and emotional needs before and after transplant, and more. 

The Committee’s Decision

After the transplant team completes the evaluation, they will decide if liver transplant is the best option for your child. Your transplant coordinator will share the outcome with you. The committee will make one of the following decisions:

  • Liver transplant is a good option for your child. The committee recommends moving forward with the transplant process.
  • There is more to learn about your child. The committee will request more meetings or tests before they make a decision.
  • Liver transplant is not the best option for your child at this time. 

If Your Child Is a Candidate

If the committee decides that a liver transplant is the best option, your financial coordinator will work with your health insurance company to seek approval for the surgery. Once approved, your child will be placed on the UNOS national waiting list for liver transplantation. Your doctor will talk with you about the types of liver transplant available to your child.


Step 2: Waiting for a Liver

Best Children's Hospital in NC

Duke Children's Hospital & Health Center is proud to be nationally ranked in 10 pediatric specialties.

This page was medically reviewed on 07/15/2021 by