Mayo Clinic's approach

Liver transplant surgical consultation at Mayo Clinic Liver transplant surgical consultation at Mayo Clinic

At Mayo Clinic, a team of surgeons, doctors, transplant nurses and other health professionals take care of you before, during and after transplant.

Liver transplants save lives when rare cancer strikes.

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  • Teamwork. At Mayo Clinic, a team of surgeons, doctors, transplant nurses, pharmacists, social workers and other health professionals take care of you before, during and after transplant. They provide quality care focused on the needs of you and your family.
  • Coordinated care. Having all of this subspecialized expertise in a single place, focused on you, means that you're not just getting one opinion — your care is discussed among the team, your test results are available quickly, appointments are scheduled in coordination, and your transplant care team works together to determine what's best for you.
  • Experience. As a three-site institution, Mayo Clinic has one of the largest liver transplant programs in the United States. Its liver transplant team is recognized nationally and internationally for its expertise in comprehensive specialty treatment for people with serious liver conditions.
  • Advanced technology. The innovations and technology of Mayo Clinic's liver transplant team make transplants available to more people. Our doctors and surgeons offer specialized procedures available at only a small number of institutions. These services include heart-liver transplants, treatment for bile duct cancer, and treatment for patients with obesity who need liver transplant with weight-loss surgery (sleeve gastrectomy).
  • Research. Researchers at Mayo Clinic are actively engaged in developing new technologies, treatments and techniques to make transplants safer and available to more people. For example, Mayo Clinic researchers study how to limit immune system rejection after liver transplant and how to use cell therapies to improve outcomes.

    At Mayo Clinic, you may have access to ongoing clinical trials, research and new treatments.

Care team roles Care team roles

Health care professionals trained in many medical specialties work together as a team to ensure favorable outcomes from your liver transplant.

The Mayo Clinic experience and patient stories

Our patients tell us that the quality of their interactions, our attention to detail and the efficiency of their visits mean health care like they've never experienced. See the stories of satisfied Mayo Clinic patients.

  1. Living His Best Life Against the Backdrop of Incurable Cancer

    When Scott Stewart learned he had a rare neuroendocrine tumor, the journey ahead of him looked frightening and difficult. But with steadfast support from an interdisciplinary Mayo Clinic team, Scott now takes comfort in knowing that some of the best physicians in the world are walking the path with him. These days, Scott Stewart spends [...]

  2. From Health Care Advisor to Transplant Patient to Mayo Clinic Employee

    Piper Nieters Su had spent years in Washington, D.C., working with institutions like Mayo Clinic on health care policy reform. Piper's relationship with Mayo Clinic changed dramatically, however, after she was diagnosed with a rare liver disease. The comments from her spouse were made out of love, but they were given when Piper Nieters Su [...]

  3. Liver Transplant Puts Pam Stubbs Back in the Saddle

    Pam Stubbs hadn't felt well in years. But now, thanks to a successful liver transplant at Mayo Clinic, Pam feels better than ever, and she's channeling newfound energy into her passion for horseback riding. Pam Stubbs had felt so bad for so long that she'd forgotten what it was like to feel good. Initially chalking [...]

  4. New Liver, New Outlook

    When Brian Gurule learned that a rare disease was the reason for his liver failure, he realized it was a race against time to find a medical center where he could get a transplant. At Mayo Clinic, he received the care he needed to give him a fighting chance. In 2016, Brian Gurule was told [...]

  5. Hanna's Lifesaving Liver Transplant

    When a local hospital was reluctant to list their daughter for the liver transplant she needed, Melinda Kohlmyer and her husband brought young Hanna to Mayo Clinic for a second opinion. There, Hanna got a second chance at life. After several busy days in the hospital, Melinda Kohlmyer was enjoying a few quiet moments with [...]

Expertise and rankings

Transplant team at Mayo Clinic Transplant team at Mayo Clinic

Mayo Clinic's three-site Liver Transplant Program is one of the largest in the country.

Each year, Mayo's doctors and surgeons diagnose and treat thousands of people with liver disease. Mayo Clinic's three-site Liver Transplant Program is one of the largest in the country.

Mayo Clinic also has one of the largest living-donor programs in the United States. Living-donor transplant is an option that, for many people, reduces time on the waiting list for a donor liver and improves outcomes.

Experience

Mayo Clinic's Liver Transplant Program was established in 1985. Since then, Mayo Clinic has completed more than 7,680 transplants in children and adults. In 2017, Mayo Clinic's campus in Florida had completed more than 3,400 liver transplants, a milestone that very few centers nationwide have achieved.

Innovation and research

The liver transplant teams in Arizona, Florida and Minnesota are leaders and innovators in heart-liver transplants, transplants for people with liver cancer and use of anti-rejection drugs that help ensure positive outcomes.

People with challenging health situations come to Mayo Clinic for help because our doctors and surgeons are experts in specialized liver transplant options.

The Mayo Clinic Transplant Center supports many studies for liver transplant research. For example, Mayo Clinic researchers are developing a bioartificial liver that could help patients cope as they await a donor liver.

Nationally recognized expertise

Liver transplant outcomes at Mayo Clinic compare favorably with the national average.

Volumes and outcomes

 

Mayo Clinic doctors' experience and integrated team approach results in transplant outcomes that compare favorably with national averages. Teams work with transplant recipients before, during and after surgery to ensure the greatest likelihood of superior results.

Volumes and statistics are maintained separately for the three Mayo Clinic locations. Taken together or separately, transplant recipients at Mayo Clinic enjoy excellent results.

Locations, travel and lodging

The Mayo Clinic Transplant Center offers care and housing for transplant patients and their families in Arizona, Florida and Minnesota.

Mayo Clinic has major campuses in Phoenix and Scottsdale, Arizona; Jacksonville, Florida; and Rochester, Minnesota. The Mayo Clinic Health System has dozens of locations in several states.

For more information on visiting Mayo Clinic, choose your location below:

Costs and insurance

Liver transplant costs and insurance information

Mayo Clinic has dedicated transplant financial services representatives and social workers who can assist you with insurance and financial questions regarding your transplant.

Mayo Clinic works with hundreds of insurance companies and is an in-network provider for millions of people. In most cases, Mayo Clinic doesn't require a physician referral. Some insurers require referrals or may have additional requirements for certain medical care. Many insurance companies require you to get preapproval authorization prior to transplant services.

Insurance information

Before your transplant, it's important that you work closely with your insurance company to understand your benefit plan. You'll be responsible for any of your transplant and medical care costs not covered by your insurance company.

You may want to ask your insurance company several questions regarding your transplant expenses, such as:

  • What is the specific coverage of my plan? What are my deductibles, coinsurance, copayments, lifetime maximum amount and annual maximum amounts for both medical care and transplant services?
  • Does my plan have a preexisting or waiting period clause? If so, what is the time frame? Can this be waived?
  • Does my plan include pharmacy coverage? If so, will my plan cover my current medications and immunosuppressant medications?
  • Does my plan require any special approvals for evaluation or transplant? How long does the approval process take once submitted to insurance?
  • Does my plan cover my transportation and lodging expenses during my transplant care?
  • Does my current insurance require enrollment in Medicare when eligible?
  • Does my insurance follow Medicare Coordination of Benefits guidelines?
  • How will my current coverage change after enrolling in Medicare? Will my plan become a supplemental or secondary plan?

If your plan is a Medicare supplement, ask questions including:

  • Does my plan follow Medicare guidelines?
  • Does my plan cover Medicare Part A and B deductible and coinsurance?
  • Does my plan have a preexisting or waiting period? If so, what is the time frame?
  • Does my plan offer an option for Medicare Part D coverage?

Other expenses

Please plan for other expenses that may occur related to your transplant, which may include follow-up medical appointments, long-term medications, caregiver expenses, travel, parking, lodging and other expenses.

For international patients

Mayo Clinic has dedicated international patient account representatives who can assist you with questions regarding your costs and insurance. Read more about international financial services.

Case managers

Mayo Clinic financial staff will work closely with your case managers from your insurance company. Your case manager, who is assigned to you, is available to answer questions and calls related to your insurance costs.

More information about billing and insurance:

Mayo Clinic in Arizona, Florida and Minnesota

Mayo Clinic Health System

Clinical trials

Explore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or manage this disease.

July 15, 2020
  1. AskMayoExpert. Liver transplant. Mayo Clinic; 2017.
  2. Liver transplant. American Liver Foundation. https://liverfoundation.org/for-patients/about-the-liver/the-progression-of-liver-disease/liver-transplant/#what-you-should-know-about-liver-transplantation. Accessed Oct. 14, 2019.
  3. Liver transplant. National Institute of Diabetes and Digestive and Kidney Diseases. https://www.niddk.nih.gov/health-information/liver-disease/liver-transplant. Accessed Oct. 14, 2019.
  4. Waiting for your transplant. UNOS Transplant Living. https://transplantliving.org/before-the-transplant/waiting-for-your-transplant/. Accessed Oct. 14, 2019.
  5. Busuttil RW, et al., eds. Donor selection and management. In: Transplantation of the Liver. 3rd ed. Saunders Elsevier; 2015. https://www.clinicalkey.com. Accessed Oct, 14, 2019.
  6. Side effects. UNOS Transplant Living. https://transplantliving.org/after-the-transplant/preventing-rejection/side-effects/. Accessed Oct.14, 2019.
  7. Dove LM, et al. Liver transplantation in adults: Patient selection and pretransplantation evaluation. https://www.uptodate.com/contents/search. Accessed Oct. 14, 2019.
  8. Bambha K, et al. Model for end-stage liver disease (MELD). https://www.uptodate.com/contents/search. Accessed Oct. 14, 2019.
  9. Cotler S. Living donor liver transplantation. https://www.uptodate.com/contents/search. Accessed Oct. 14, 2019.
  10. Schenck D, et al. Ethical analysis and policy recommendations regarding domino liver transplantation. Transplantation. 2018; doi:10.1097/TP.0000000000002095.
  11. Kim WR, et al. OPTN/SRTR 2017 annual data report: Liver. American Journal of Transplantation. 2019; doi:10.1111/ajt.15276.
  12. Pardo MC, et al., eds. Organ transplantation. In: Basics of Anesthesia. 7th ed. Elsevier; 2018. https://www.clinicalkey.com. Accessed Oct. 15, 2019.
  13. Rumack CM, et al., eds. Organ transplantation. In: Diagnostic Ultrasound. 5th ed. Elsevier; 2018. https://www.clinicalkey.com. Accessed Oct. 15, 2019.
  14. Preventing rejection. UNOS Transplant Living. https://transplantliving.org/after-the-transplant/preventing-rejection/. Accessed Oct. 15, 2019.
  15. Why join a support group. UNOS Transplant Living. https://transplantliving.org/community/support-groups/. Accessed Oct. 15, 2019.
  16. Liver transplant. Scientific Registry of Transplant Recipients. http://www.srtr.org. Accessed Oct. 15, 2019.
  17. Glorioso JM, et al. Pivotal preclinical trial of the spheroid reservoir bioartificial liver. Journal of Hepatology. 2015; doi:10.1016/j.jhep.2015.03.021.
  18. Yu Y, et al. Cell therapies for liver diseases. Liver Transplantation. 2012; doi:10.1002/lt.22467.
  19. Taner T, et al. Decreased chronic cellular and antibody-mediated injury in the kidney following simultaneous liver-kidney transplantation. Kidney International. 2016; doi:10.1016/j.kint.2015.10.016.
  20. De Assuncao TM, et al. Development and characterization of human-induced pluripotent stem cell-derived cholangiocytes. Laboratory Investigation. 2015; doi:10.1038/labinvest.2015.51.
  21. Croome KP, et al. The use of donation after cardiac death allografts does not increase recurrence of hepatocellular carcinoma. American Journal of Transplantation. 2015; doi:10.1111/ajt.13306.
  22. Find a transplant hospital. UNOS Transplant Living. https://transplantliving.org/before-the-transplant/find-transplant-hospital/. Accessed Oct. 15, 2019.

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