Patients must be referred by their liver specialist to the provincial liver transplant program at Vancouver General Hospital in Vancouver. If the patient does not have a liver specialist, referrals from primary care providers are also accepted.
For alcohol-associated liver disease, there is no minimum period of abstinence to accept a referral (effective May 2019).
The current version of the clinical guidelines includes three key updates:
- Additional guidance to clinicians to recognize and consider the historical experience and generational trauma of Indigenous peoples when supporting Indigenous patients through their transplant care journey.
- Additional guidance concerning all patients with primary biliary cholangitis (PBC), auto-immune hepatitis (AIH), or other cholestatic liver diseases referred for transplant to consider the patient’s overall condition and not just the MELD score alone.
- The implementation of MELD 3.0 to address some limitations of MELD-Na (effective as of November 30, 2025).
For more information, please refer to the complete
Liver-Transplant-Clinical-Guidelines-Final_17Nov25.pdf (Revised November 2025)
While the current guidelines are based on available evidence, considerations and expert opinions at the time of revision, they will be updated regularly as needed based on evolving liver transplantation evidence, program quality and outcomes monitoring, practice changes and constructive feedback.
Referral Form:
Liver-Transplant-Referral-Form-2025.pdf (Revised November 2025)
For cirrhotic patients being transferred to VGH for evaluation for liver transplant, please refer to this checklist.
The liver transplant program has an Indigenous Care Coordinator available to support self-identified Indigenous patients and their families who are receiving liver transplant care. The Indigenous Care Coordinator provides a range of health and mental health navigation, advocacy and support services. Please see this brochure for more details.