Considerations when counselling a patient/caregiver for insertion of a long-term abdominal drain. ALFA, automated low flow ascites; CNS, clinical nurse specialist; INR, international normalised ratio; LTAD long-term abdominal drain; LVP, large volume paracentesis; MDT, multidisciplinary team; NICE, National Institute for Health and Care Excellence; TIPS, transjugular intrahepatic portosystemic shunt.