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Best Liver Transplantation Hospital in Chennai

At the Apollo Liver Diseases & Transplantation Institute, Chennai, we combine advanced surgical expertise with multidisciplinary care to deliver some of the highest liver transplant success rates in India.

 

5000+ liver transplants | 95% + clinical success rate | Patients from 50+ countries

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About the Apollo Liver Diseases & Transplantation Institute

The Apollo Liver Diseases & Transplantation Institute, Chennai, is one of India’s leading centres for comprehensive liver care, offering a wide range of expertise - from diagnosing and treating liver conditions to performing advanced liver surgeries and liver transplants.

As a specialized unit within Apollo’s Organ Transplantation Centre of Excellence, the Institute brings together liver specialists (hepatologists), transplant surgeons, anesthetists, critical care intensivists, and coordinators to deliver seamless, multidisciplinary care.

Apollo Hospitals performed India’s first successful liver transplant in 1998. Today, with over 5,000 transplants completed across the network and a clinical success rate exceeding 95%, the program stands among the most experienced globally.  

Chennai offers a distinct advantage. Tamil Nadu has historically led India in deceased organ donation and organ utilization, improving access to deceased donor transplantation.

The Institute is an accredited centre for liver transplants under the Chief Minister’s Comprehensive Health Insurance Scheme (CMCHIS), making advanced liver care accessible across economic backgrounds. It is also among the very few liver transplant centres in India with 24-hour readiness for emergency cadaveric (deceased) organ retrieval and transplantation.

Why Choose Apollo for Liver Transplant

  • Proven Clinical Outcomes: Apollo’s liver transplant program maintains a success rate of over 95%, reflecting excellence across surgical precision, critical care, and long-term follow-up.
  • Unmatched Experience: With over 5,000 liver transplants performed, 25+ years of delivering expert care, and patients treated from 50+ countries, Apollo brings world-class experience to every patient. We are recognized as one of India’s leading hospitals in liver transplant for consecutive years.
  • Pioneers in Liver Transplant: Performed India’s first successful deceased donor liver transplant (DDLT) in 1998 and South Asia’s first combined liver–heart transplant in 2015. Our Institute has been awarded by the Tamil Nadu government for performing a high number of successful DDLT transplants.
  • Multidisciplinary Expertise: Every patient is reviewed by a team of specialists, including hepatologists, transplant surgeons, oncologists, intensivists, radiologists, pediatricians and specialists, ensuring comprehensive decision-making.
  • Advanced Technology & Infrastructure: Apollo combines a dedicated Liver ICU with 24/7 specialist care, advanced imaging such as 320-slice CT and high-resolution MRI, world’s leading technology like CUSA and OrganOx Metra, along with AI-guided analysis and investigations for precise diagnosis and safer, more effective treatment.
  • One Destination, Comprehensive Care: The Apollo Liver Diseases & Transplantation Institute brings evaluation, imaging, biopsy, surgical consultation, and transplant planning under one roof. There are 6 such licensed Apollo Hospitals in Tamil Nadu performing liver transplants.  
  • Accessibility & Affordability: Recognized under the Chief Minister’s Comprehensive Health Insurance Scheme (CMCHIS), making advanced liver care accessible to a wider population. The Institute also works closely with TRANSTAN and other regional bodies to support this ecosystem.

Conditions We Treat

The Apollo Liver Diseases & Transplantation Institute offers expert evaluation and treatment across a wide range of liver conditions: 

Liver Diseases
  • Hepatitis B and Hepatitis C (acute and chronic)  
  • Metabolic dysfunction-associated steatotic liver disease (fatty liver)
  • Alcohol-related liver disease  
  • Cirrhosis and its complications (ascites, spontaneous bacterial peritonitis, hepatic encephalopathy)  
  • Acute liver failure  
  • Chronic liver disease (cirrhosis)
  • Portal hypertension  
  • Autoimmune hepatitis  
  • Primary biliary cholangitis  
  • Genetic disorders involving the liver  
  • Hepatorenal syndrome  
  • Hepatic encephalopathy 
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Liver Tumours
  • Primary hepatocellular carcinoma (HCC)
  • Cholangiocarcinoma (bile duct cancer)
  • Hepatoblastoma (pediatric)
  • Liver metastases (secondary liver cancer)
  • Liver adenoma
  • Liver hemangioma and other benign lesions 
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Biliary & Pancreatic Conditions
  • Gallstone disease and gallbladder polyps
  • Choledocholithiasis (stones in the bile duct)
  • Cholangitis (primary sclerosing and secondary)
  • Bile duct tumours
  • Acute and chronic pancreatitis
  • Pancreatic tumours
  • Gallbladder cancer 
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Pediatric Liver Conditions
  • Biliary atresia
  • Metabolic disorders in children
  • Liver tumours in children
  • Pediatric acute liver failure
  • Rare congenital and genetic liver diseases 
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Liver Transplant at Apollo

The Apollo Liver Diseases & Transplantation Institute offers a comprehensive range of transplant options, tailored to each patient’s condition and urgency: 

Living Donor Liver Transplant (LDLT)

A healthy family member or compatible donor gives a portion of their liver — usually the right lobe — which is transplanted into the patient. The liver has the unique ability to regenerate, allowing both donor and recipient livers to grow back to near-normal size within a few months. This option significantly reduces waiting time and allows the transplant to be planned at the right stage of the illness. Apollo Hospitals runs one of the most experienced LDLT programs in India, with outcomes matching global standards.

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Deceased Donor Liver Transplant (DDLT)

In this procedure, the liver is donated by a brain-dead individual who has consented to organ donation. The organ is allocated to patients on the waiting list based on medical urgency. Apollo Hospitals Chennai has performed one of the highest numbers of deceased liver transplants in India and maintains 24/7 readiness for organ retrieval and transplantation, supported by a strong coordination network including TRANSTAN.

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Split Liver Transplant

A single donor liver is surgically divided and transplanted into two recipients — usually an adult and a child — helping maximize the use of each donated organ. Apollo Hospitals has extensive experience in performing split liver transplants, including advanced procedures in this category.

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ABO-Incompatible Liver Transplant

When a matching blood group donor is not available, Apollo’s team of liver experts can perform transplants across blood groups using specialized protocols to manage immune response. This expands access to transplantation, especially in urgent situations.

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Auxiliary Liver Transplant

In select cases, especially acute liver failure, a partial donor liver is transplanted alongside the patient’s existing liver. This supports recovery while allowing the native liver the chance to heal. Apollo Hospitals has performed highly complex auxiliary transplants, including pediatric cases.

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Combined Liver and Kidney Transplant

For patients with simultaneous end-stage liver and kidney disease, Apollo's multidisciplinary teams perform combined transplants in a single procedure, coordinating hepatobiliary and renal surgical expertise under one surgery.

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Multi-Organ Transplant

In complex cases of intestinal failure and multi-organ dysfunction, Apollo Hospitals has successfully performed simultaneous liver, intestine, and pancreas transplants — the first such procedure in India — offering a lifeline where no other option exists.

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Pediatric Liver Transplant

Children with biliary atresia, metabolic liver disease, acute liver failure, and inherited conditions require specialized transplant care that accounts for their size, physiology, and long-term developmental needs. Apollo Hospitals' pediatric liver transplant team has extensive experience in operating on infants and young children, with some of the youngest recipients in India being managed at Apollo.

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Robotic Surgery in Liver Transplantation

Robotic-assisted surgery is an emerging advancement in liver transplantation and related liver procedures, offering greater precision, control, and minimally invasive access. Using advanced robotic systems, surgeons can perform complex parts of the surgery through smaller incisions with enhanced 3D visualization and improved dexterity. For patients, this can translate to reduced blood loss, less post-operative pain, faster recovery, and shorter hospital stays in selected cases. At Apollo, robotic technology is integrated into liver surgery where appropriate, combining surgical expertise with innovation to further improve outcomes and patient experience. Robotic surgery may be used in selected liver and hepatobiliary procedures, and in selected components of transplant-related surgery where appropriate. Their use depends on patient factors, surgical indication, and team expertise. 

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Advanced Technology & Infrastructure

At the Apollo Liver Diseases & Transplantation Institute, advanced technology plays a critical role in improving precision, safety, and outcomes across liver care and transplantation — from early diagnosis to complex surgery and post-operative care.

  • 320-slice CT Scanner: Provides highly detailed, fast imaging for accurate diagnosis and precise surgical planning.
  • High-Resolution MRI: Offers superior soft tissue imaging, essential for evaluating liver disease, tumours, and vascular structures.
  • FibroScan: A non-invasive test that measures liver stiffness to assess fibrosis and cirrhosis without the need for biopsy. Only centre with the advanced Fibroscan Expert 630 for liver screening
  • Ultrasound with Elastography: Combines imaging with stiffness measurement to evaluate liver health and detect early disease.
  • da Vinci Xi Robotic Surgical System: An advanced robotic platform that allows surgeons to perform complex liver procedures with enhanced precision, 3D visualization, and improved control.  
  • Cavitron Ultrasonic Surgical Aspirator (CUSA): Allows surgeons to selectively remove diseased liver tissue while preserving healthy structures, improving safety during complex procedures.
  • OrganOx Metra Machine Perfusion System: Maintains donor livers in near-physiological conditions outside the body, improving organ viability and transplant success rates.
  • Advanced Onco Care : Proton Therapy and Nuclear Medicine for treating liver cancer

     

Robotic Surgery 

Apollo Hospitals offers robotic-assisted liver transplantation, combining the precision of advanced robotic technology with the expertise of our transplant specialists. Performed using the da Vinci Robotic Surgical System, this minimally invasive approach enables surgeons to operate with enhanced dexterity, three-dimensional visualisation, and greater accuracy — even in complex anatomical spaces. Patients benefit from smaller incisions, significantly reduced blood loss, and lower risk of post-operative complications. The robotic platform also supports faster recovery, shorter hospital stays, and a quicker return to normal activity compared to conventional open surgery. At Apollo, robotic liver transplantation is performed by a dedicated team of fellowship-trained surgeons with specialised training in robotic hepatobiliary procedures, ensuring world-class outcomes for every patient. 

Liver Specialists at Apollo

Meet Our Liver Specialists in Chennai

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Dr Elankumaran K - Liver Transplant Surgeon in Chennai
Dr Elankumaran K
Liver Transplant
18+ years experience
Apollo Hospitals, Greams Road, Chennai
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Dr Nivas Venkatachalapathi - Liver Transplant Surgeon in Chennai
Dr Nivas Venkatachalapathi
Liver Transplant
5+ years experience
Apollo Hospitals, Greams Road, Chennai
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dr.-murugan
Dr Murugan N
Gastroenterology & Hepatology
18+ years experience
Apollo Hospitals, Greams Road, Chennai

Your Transplant Journey

A liver transplant is a life-changing journey; one that begins with careful evaluation and continues through surgery and lifelong follow-up care. At Apollo Hospitals Chennai, this journey is guided step-by-step by our dedicated transplant team, ensuring you and your family feel supported throughout. 

Evaluation & Listing
  • The process begins with a detailed evaluation to understand your condition and determine if a transplant is the right option. This includes blood tests, imaging, and heart and lung assessments to ensure you are fit for surgery.  
  • You will also meet our multidisciplinary team, including hepatologists, surgeons, and counsellors, who will guide you through the process.  
  • Once approved, you are placed on the transplant waiting list based on your medical needs.
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The Waiting Phase
  • During this phase, your health is closely monitored through regular checks and tests.  
  • The team ensures your condition remains stable while you await a suitable donor.  
  • Depending on your situation, options may include a deceased donor liver, living donor transplant, split liver transplant, ABO-incompatible liver transplant, auxiliary liver transplant, multi-organ transplant, or a pediatric liver transplant (if the patient is a child). 
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The Transplant Surgery
  • Liver transplant surgery is a complex procedure that typically takes 8 to 12 hours.
  • During this time, the diseased liver is carefully removed and replaced with a healthy donor liver, with precise connection of blood vessels and bile ducts.  
  • A highly experienced team of surgeons, anesthetists, and nurses work together to ensure safety and stability throughout the procedure. 
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Recovery & Follow-up Care
  • After surgery, you will be monitored in a specialized intensive care unit before moving to a transplant ward.  
  • Transplant risks include bleeding, thrombosis, bile leak/stricture, rejection, infection, renal dysfunction, and recurrence of underlying disease.
  • Hospital stay can range from 1 to 3 weeks depending on recovery.  
  • Lifelong medications are required to prevent organ rejection, and regular follow-ups are essential to ensure the new liver is functioning well. 
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Life After Transplant
  • With proper care and regular follow-up, many patients with a transplanted liver can return to a normal, active life within 3 to 6 months.  
  • Beyond physical recovery, emotional support for both patients and families plays an important role in long-term well-being — and our team remains with you every step of the way. 
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International Patient Services

Travelling to another country for a liver transplant can feel overwhelming, but at Apollo Hospitals Chennai, our dedicated International Patient Services team ensures your journey is smooth, coordinated, and fully supported from start to finish.

Before You Travel

Once you share your medical records, our clinical team reviews your case and guides you on the next steps. We assist with visa documentation, travel planning, and accommodation arrangements, ensuring everything is in place before your arrival.

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Arrival & Pre-Transplant Preparation

We recommend arriving at least 2 weeks prior to the transplant for detailed evaluation, tests, and consultations. During this time, our team coordinates all appointments, provides language support if needed, and helps you and your family settle in comfortably.

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During Your Treatment

From hospital admission to surgery and recovery, a dedicated coordinator supports you throughout. Our multidisciplinary team ensures you receive seamless care, while we assist your family with logistics, communication, and daily needs.

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Recovery & Stay After Surgery

After the transplant, patients typically require a few weeks of recovery and monitoring before travelling back. Our team continues to guide you through follow-ups, medication management, and discharge planning.

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Returning Home & Ongoing Care

For liver transplant patients, discharge is typically planned around 3 to 4 weeks after surgery, depending on recovery and stability. For other liver conditions or procedures, the duration of stay varies based on the treatment and individual recovery. Before you travel back, our team ensures you are medically fit to fly and provides detailed discharge summaries, medication plans, and follow-up guidance. We also coordinate with your local doctor and remain available for remote consultations and ongoing support after you return home. 

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Milestones

1998

Apollo Hospitals performs India’s first successful liver transplant

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2003

Apollo Hospitals Chennai launches the liver transplant program

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2004

Apollo Hospitals Chennai records the largest number of cadaveric (deceased) liver transplants in India in a single year

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2018

First use of OrganOx Metra (perfusion device that preserves the donor liver) in India

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2019

Apollo Hospitals Chennai performs Asia's first en-bloc combined heart and liver transplant

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2023

Apollo Children's Hospitals, Chennai, completes a significant milestone in pediatric liver transplants

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2025

Apollo Hospitals Chennai completes over 50 liver transplants under the Chief Minister's Comprehensive Health Insurance Scheme (CMCHIS) 

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2025

Apollo Hospitals Group becomes the first hospital group in India and South Asia to complete 5,000 liver transplants 

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Testimonials

Frequently Asked Questions

  • When is a liver transplant recommended?

A liver transplant is recommended when the liver can no longer function adequately, and all other treatment options have been exhausted or are unlikely to provide a durable benefit. Common reasons include end-stage liver disease (due to hepatitis B, hepatitis C, excessive alcohol use, or fatty liver disease), acute liver failure, certain liver tumours (particularly hepatocellular carcinoma within defined criteria), and inherited metabolic conditions in children. Your transplant team will conduct a thorough evaluation before making this recommendation.  

  • What is the difference between a living donor and a deceased donor transplant?

In a living donor liver transplant (LDLT), a family member or compatible donor voluntarily donates a portion of their liver (usually the right lobe). Both the donor's remaining liver and the transplanted portion regenerate to near-normal size within a few months. In a deceased donor liver transplant (DDLT), the liver is retrieved from a deceased donor who has consented to organ donation. The choice between them depends on medical urgency, blood group compatibility, the donor's suitability, and timing. Our Institute offers other types of liver transplants as well. Our team will guide you through both options and help identify what is most appropriate for your situation.  

  • How long does the transplant surgery take, and what does recovery involve? 

A liver transplant surgery typically takes between 8 and 14 hours, depending on the complexity of the procedure. After surgery, patients are monitored in the dedicated Liver Intensive Care Unit (LICU) before being moved to the ward. Most patients are hospitalized for approximately 10 to 14 days post-surgery. Discharge depends on how the new liver is functioning and the patient's overall recovery. Full return to normal activities is generally expected within three to six months, though individual recovery timelines vary.  

  • What is the success rate of liver transplantation at Apollo? 

Apollo's liver transplant institute maintains a clinical success rate of over 95%, consistent with outcomes at the world's leading transplant centres. Individual outcomes depend on factors including the patient's pre-transplant health status, the underlying liver disease, the type of transplant, and adherence to post-transplant medications and follow-up protocols. Our team will provide you with a realistic and personalized picture of what to expect in your specific case.  

  • Will the donor be safe after donating a part of their liver? 

Donor safety is a non-negotiable priority at Apollo. Every potential living donor undergoes a rigorous multi-step evaluation — medical, surgical, psychological, and social before being approved. Surgery is only offered if the donor's residual liver volume is sufficient for safe function. The donated portion of the liver regenerates within a few months. Donor recovery typically takes four to six weeks. Apollo's living donor program has a strong safety record, and donors are followed closely through their recovery.  

  • What medications will I need after a liver transplant, and for how long? 

After a transplant, patients are placed on immunosuppressant medications which prevent the immune system from recognizing the new liver as foreign and attacking it. These medications are typically required life-long, though doses are often reduced over time as the body adjusts. Our team works closely with each patient to optimize their medication regimen, monitor side effects, and adjust doses based on regular blood tests. Adherence to the prescribed medication schedule is one of the most important factors in long-term transplant success.  

  • Can liver disease return after a transplant? 

In some cases, the original liver disease can recur in the transplanted liver. This is most commonly seen with hepatitis C (now highly manageable with direct-acting antiviral medicines) and metabolic-dysfunction fatty liver disease. Patients who received a transplant for hepatitis B are placed on preventive antiviral therapy. The Apollo team monitors signs of recurrence and has protocols to manage them early, giving the new liver the best chance of long-term function.  

  • How does Apollo coordinate the transplant process for international patients?

Apollo has a dedicated International Patient Services team that assists with appointment scheduling, medical record review, visa, travel and accommodation arrangements, and communication with referring physicians. Once a patient is on the transplant waiting list, the team remains in close contact and ensures that when an organ becomes available, the patient can reach Apollo Chennai within the required timeframe. Our transplant coordinators are available round the clock for any concerns.  

  • Is liver transplantation available under government health insurance schemes?

Yes. Apollo Hospitals Chennai has successfully performed over 50 liver transplants under the Chief Minister's Comprehensive Health Insurance Scheme (CMCHIS), enabling patients from economically disadvantaged backgrounds to access complex, life-saving care at no or reduced cost. Our patient services team can assist you in understanding your eligibility and the documentation required.  

  • What dietary and lifestyle changes are required after a liver transplant?

After a transplant, patients are advised to  follow a balanced, nutritious diet; avoiding raw or undercooked meat and fish (to reduce infection risk), limiting salt (to manage blood pressure), and avoiding excessive sugar and saturated fats (to maintain a healthy weight). Alcohol must be avoided entirely. Regular physical activity is encouraged as recovery progresses. A dedicated clinical dietician works with every transplant patient to create an individualized nutrition plan, both during hospitalization and after discharge.  

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