Living Donor Liver Transplantation in Pakistan
Liver disease is a significant problem in Pakistan. In a country of approximately 200 million people, 5% (10 million) are infected with hepatitis C virus, and more than 2 million are in need of liver transplantation to save their life.1,2 Pakistan's first liver transplant was performed in 2003 in an international collaborative effort at the Sind Institute of Urology and Transplantation in Karachi. Activities in liver transplantation had been on a hiatus until 2011 when a team of local doctors performed a deceased donor liver transplant in Lahore. From 2012 onward, a number of centers undertook the challenges in developing living donor liver transplant programs across the country. The provinces of Punjab and Sind have been in the forefront of liver transplant activity in Pakistan (Figure 1).