Liver Transplant Evaluation

Patients referred to the Liver Transplant Program at the Massachusetts General Hospital Transplant Center undergo a three-part evaluation to determine their candidacy for transplantation.

To begin the liver transplant process, you or your physician should contact the Mass General Liver Transplant Clinic. You will be asked to provide your medical records. A liver transplant nurse coordinator and a transplant hepatologist will review your referral and medical records once they have been received. Transplant Center staff will then schedule an initial evaluation appointment.

Depending on the number of tests required for each patient, the length of the evaluation process can vary. Our goal is to complete all testing within one month, except for patients in need of emergent transplantation, which are completed within days, while in the hospital.

Parsia Vagefi, MD, with a transplant patient

Parsia Vagefi, MD, examines a transplant patient

Part One: Initial Evaluation
You will begin the liver transplant evaluation at the Mass General Multidisciplinary Liver Transplant Evaluation Clinic, held on Mondays and Wednesdays. During the day you will:

  • Attend a liver transplant education session  
  • Have blood testing done
  • Meet with all the members of the transplant team, including your individual nurse coordinator, hepatologist, surgeon, social worker, dietitian and financial coordinator

Part Two: Specialized TestingAfter the initial clinic visit you will return for additional testing and appointments as needed. The liver transplant team will assist you in scheduling these tests and appointments, which may include:

  • Cardiac stress testing
  • Chest X-ray and electrocardiogram (EKG)
  • Additional blood and urine tests
  • CT scan
  • MRI/MRA
  • Meeting with a pharmacist
  • Meeting with a psychiatrist
  • Meeting with the liver cancer team

You will be responsible for scheduling the following tests with your local doctor and/or providing recent results in order to complete the transplant evaluation:

  • Colonoscopy (age 50+)
  • Dental exam (within the past year)
  • For women:
    • Pap smear
    • Mammogram (age 40+)

Part Three: Review by CommitteeOnce testing is complete, the entire transplant team will meet to determine your candidacy for listing for liver transplantation. You and your referring physician will be informed of the committee’s decision within approximately one month.

To initiate a transplant evaluation, call 877-644-2860 or request an appointment online.

Discover the Transplant Center patient experience

Our approach to patient care brings together a team of transplant specialists who create a personalized treatment plan for each patient.

Download our patient guide to transplantation

View the Transplant Center’s patient guide for information about transplantation, including how to prepare for surgery and how to care for your new organ.