Table 3.

Problems and recommendations in selecting living liver donors

Common problems	Recommendations
Donor ambivalence	Impartial donor advocate, interviews with previous living donors
Psychosocial causes leading to donor rejection and costly work-up	Earlier interview with dedicated transplant psychologist (at step 1 of evaluation instead of step 2, table 4)
Donor consent	Get two informed consents, consent to donate the liver lobe to a back-up recipient or for hepatocyte isolation in order to avoid ‘orphan liver lobe’
Aborted surgeries	Avoid donors with upper abdominal surgeries especially during early ‘learning curve’, rule out hepatic steatosis pre-operatively in patients with BMI >25, detect bile duct variations on pre-operative MRCP, perform intra-operative cholangiogram, dedicated radiologist for accurate liver lobe volumetrics to avoid small-for-size syndrome
Deep venous thrombosis	Avoid donors with thrombophilic conditions, Enoxaparin for 6 weeks