• Room Rent
• Cost of Surgery
• Consultations by the treating team
• Basic Investigations
• Routine Pharmacy and Consumables and Blood Products
• Patient and Attendant’s Food

• Stay beyond the number of days included in the package.
• Any additional Surgery/procedure that may be required.
• Consultation by a doctor of an unrelated specialty.
• Any special equipment that might be needed.
• Personal Protection Equipment for Doctors and Healthcare Workers.
• Any medicines/tests needed after discharge from the hospital.

Outside Hospital - Stay and Expenses
After discharge from the hospital, the patient will most likely be required to stay for 2-3 months near hospital for
follow-ups and recuperation.
He can choose to stay in guest houses/hotels/furnished apartments. The costs of these are usually $30/$50-75 per
day. An apartment typically will cost USD 700-1000 pm. He can also choose to stay in a near-by 5-star hotel which
costs USD 150-200 per night.

Additionally, patient may budget for USD 50/per person for daily expenses like food, local transport and tele-
communication. For local transport, he can use Uber/Ola/private taxis, which are easily available.

Returning Back
Hospital will make arrangements for dropping the patient off at the airport from his place of residence in New Delhi.

A liver transplant is a surgical procedure in which a damaged or diseased liver is replaced with a healthy liver from a donor. This surgery becomes necessary when the liver is not functioning properly and cannot heal on its own. The liver is a vital organ that filters harmful substances from the blood, produces bile to aid digestion, and stores energy.

A liver transplant is usually recommended when someone has liver failure. This means the liver can no longer do its job well enough to keep the body healthy. 

Liver failure can happen because of:

• Chronic liver diseases, like cirrhosis (scarring of the liver), are often caused by long-term infections (hepatitis B or C) or excessive alcohol use.
• Acute liver failure can happen quickly due to drug overdoses (like taking too much acetaminophen) or poisoning.
• Genetic disorders, where people are born with conditions that damage the liver, like Wilson's disease.

 Liver failure happens when the liver is severely damaged and can't function properly. Some common signs and symptoms include:

• Jaundice: Yellowing of the skin and eyes
• Abdominal pain and swelling
• Fatigue and weakness
• Nausea and vomiting
• Loss of appetite
• Confusion or difficulty thinking clearly
• Dark urine and pale stool.

 Liver failure can result from several conditions, including:

• Chronic Liver Diseases: Like cirrhosis (scarring of the liver), often caused by:
• Chronic hepatitis B or C infections
• Alcohol abuse
• Acute Liver Failure: Rapid liver failure caused by:
• Drug overdose (e.g., acetaminophen)
• Infections
• Toxins
• Inherited Diseases, like Wilson's disease or hemochromatosis
• Autoimmune Diseases, where the immune system attacks the liver
• Non-Alcoholic Fatty Liver Disease (NAFLD).

 If you experience symptoms like jaundice, severe fatigue, confusion, or swelling in the abdomen or legs, seek medical help immediately. These signs indicate that the liver may not be functioning well.

 Several factors increase the risk of needing a liver transplant:

• Chronic alcohol use,
• Chronic viral hepatitis (B or C),
• Obesity (increases the risk of fatty liver disease),
• Diabetes (linked with non-alcoholic fatty liver disease),
• Exposure to toxins or certain medications.

 Doctors perform various tests to evaluate liver function and determine if a transplant is necessary:

• Blood Tests: To check liver enzymes, bilirubin levels, and other indicators of liver health.
• Imaging Tests: include ultrasound, CT scan, or MRI to see liver damage or abnormalities.
• Liver Biopsy: A small piece of liver tissue is examined under a microscope.
• Endoscopy: A flexible tube with a camera is used to look for bleeding in the digestive tract, a complication of liver failure.

 Pre-Surgery: Once it's decided that a transplant is needed, the patient is placed on a waiting list for a donor's liver. Sometimes, a liver can come from a living donor (someone donates part of their liver).
 Surgery: The damaged liver is removed, and the donor liver is placed in its place. Blood vessels and bile ducts are connected.
 Post-Surgery: The patient stays in the hospital for recovery. They are closely monitored for signs of rejection (where the body attacks the new liver) or infection.
Immunosuppressive Medications: To prevent the body from rejecting the new liver.
 Regular Check-ups: Patients need lifelong medical follow-up to ensure the liver functions well.
 Healthy Lifestyle: Eating a balanced diet, exercising, and avoiding alcohol are crucial for maintaining the liver's health.

 Do's:

• Take prescribed medications regularly, especially immunosuppressants.
• Attend regular follow-ups, such as blood tests and doctor visits.
• Eat a healthy diet: Focus on lean proteins, whole grains, and vegetables.
• Stay active: Gentle exercise helps improve overall health.
• Practice hygiene: Wash hands regularly to avoid infections.
•  

 Don'ts:

• Don't drink alcohol: It can damage the new liver.
• Avoid smoking or using drugs: They increase the risk of complications.
• Don't skip medications: This can lead to rejection of the new liver.
• Avoid raw or undercooked foods: To prevent infections, which can be severe post-surgery.