Pediatric Liver Transplant Program

Your child receives expert liver transplant care with support for your family at every step before, during and after transplant.
Pediatric Liver Transplant

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Why choose UCSF Benioff Children's Hospitals for pediatric liver transplant?

Children who need liver transplants receive skilled, attentive care from our dedicated team. We have one of the world's most experienced pediatric liver transplant programs, designated a center of excellence by the U.S. Department of Health and Human Services. U.S. News & World Report ranks our children's hospitals among the top programs for gastroenterology and GI surgery.

We treat some of the most challenging and rare liver conditions in infants, children and teens. More than half of our pediatric transplant patients are under age 2, giving us deep experience with young children.

You can schedule an appointment online with a patient care navigator to discuss your child's options. They coordinate details, guide scheduling and help you understand each step with more confidence.

More transplant options for safer care

When your child needs a liver transplant, every option matters. Our team evaluates living and deceased donor livers, whole livers and partial grafts. We use these options to help your child receive the right liver as quickly and safely as possible.

Our transplant outcomes

Survival rates for children who received a liver transplant at UCSF Benioff Children's Hospitals. We also have low retransplantation rates, meaning fewer children need a second transplant.
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  • 100%

    three-year survival after a living donor transplant

  • 100%

    of transplanted livers still working at three years

  • 95%

    one-year survival after a deceased donor transplant

  • 92%

    three-year survival after a deceased donor transplant

Advanced techniques reduce waitlist times

Our team provides close, expert care while your child waits for a liver. We care for children with complex liver conditions, including biliary atresia, genetic liver diseases, liver tumors and liver failure.

Our expertise in leading-edge transplantation techniques enables us to expand the pool of livers for pediatric patients, reducing wait times. We helped pioneer techniques that make liver transplantation safer and expand donor options.

Our advanced expertise includes:

  • Living donor liver transplants. This option can help some children receive a liver sooner.

  • Split liver transplantation techniques. Our surgeons can split a deceased donor liver to help two recipients (a child and an adult).

  • Experience with challenging grafts. We have expertise in using technically challenging grafts (the part of the liver that is transplanted). We can work with uniquely shaped donor livers, expanding the pool of usable organs.

  • Use of liver perfusion devices. Specialized equipment preserves organs during transport, enabling us to use organs from farther away.

Multispecialty, family-centered care

Our core transplant medical team meets several times each week to review our pre- and post-transplant patients. This collaboration ensures consistency, shared knowledge and close attention in your child's care.

Your child's team may include:

  • Hepatologists

  • Transplant surgeons

  • Gastroenterologists

  • Infectious disease specialists

  • Anesthesiologists

  • Pharmacists

  • Nurses

  • Transplant psychologists

  • Child life specialists, patient care navigators, social workers and other support staff

Children with liver tumors or hepatoblastoma receive coordinated care from transplant, liver and cancer specialists.

The entire team focuses on compassionate, family-centered care. Your nurse navigator guides you through the process, and we communicate with you at every step so you are informed and confident in your child's care.

Post-transplant care

Care after transplant is critical to your child's long-term health and quality of life. We monitor liver function and your child's growth and development throughout childhood and into early adulthood.

Our team routinely looks for safe ways to reduce immunosuppressant medications after transplant. We balance this approach with careful monitoring to protect your child's new liver. Through research, we continue studying ways to minimize or even eliminate these medications for some children.

Providers

Awards & achievements

Recognized nationally for excellence, we pair world-class medical expertise with compassionate care to deliver the best possible outcomes for patients.
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  • U.S. News & World Report Best Children's Hospitals 2026-2027, gastroenterology and GI surgery

    Best in Northern California and top 10 in the nation for gastroenterology & GI surgery

  • U.S. News & World Report Best Children's Hospitals 2026-2027, ranked in 11 specialties

    Ranked among the nation's best in 11 specialties

Mom's liver donation saves her daughter's life

After Sahej's biliary atresia symptoms were dismissed elsewhere, our experts acted quickly to get her the care she needed.

Two moms donated organs to their infant daughters

Two mothers became living donors for their babies, who were diagnosed with a life-threatening liver condition shortly after birth. Both are now thriving.

A living liver donor saved a child's life

Raylynn received part of a liver from a volunteer donor through UCSF's non-directed living donor program. Her story shows how community donors can expand living donation options for children who need transplant.
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Trials & research

Research initiatives

Liver transplant care for adults

Find expert transplant care specializing in complex and high-risk procedures.