Why a Second Opinion on Liver Transplant Matters
A second opinion on liver transplant can be life-changing. Many patients have been told by one hospital that their condition is “too advanced” for transplant, or that their donor is “not suitable” — and then successfully received a transplant after consulting Dr. Srinivas Bojanapu at Dhaara Speciality Hospital, Bangalore.
Liver transplant eligibility criteria, donor evaluation standards, and surgical risk assessment vary significantly between surgeons and centres. A second opinion on liver transplant from an experienced HPB and transplant surgeon gives you the most complete picture of your options — and often reveals pathways that were not previously considered.
Who Should Seek a Second Opinion on Liver Transplant?
- You have been told you are “not a candidate” for liver transplant
- Your proposed donor has been “rejected” at another centre
- You have been waiting on the transplant waitlist for a long time with no progress
- Your hospital does not perform ABO-incompatible or paediatric transplants
- You want an independent assessment before committing to a specific hospital
- Your MELD score is rising and you need an urgent evaluation
- You or a family member has received conflicting opinions from different specialists
What Dr. Srinivas Bojanapu Assesses in a Second Opinion
A second opinion consultation with Dr. Bojanapu involves a structured review of your case across several dimensions:
1. Transplant Candidacy
Dr. Bojanapu reviews your liver disease diagnosis, MELD score, portal hypertension severity, hepatic encephalopathy history, and overall fitness for major surgery. He applies international transplant criteria (Milan criteria for HCC, MELD exception requests) combined with individualised clinical judgement.
2. Donor Evaluation Review
If your proposed living donor was previously declined, Dr. Bojanapu re-evaluates the donor’s CT volumetry, liver anatomy, steatosis grade, blood group compatibility, and overall fitness. Donors rejected elsewhere for borderline steatosis or mild volumetry concerns are often re-evaluated successfully with updated imaging or weight optimisation.
3. Alternative Pathways
When standard options are unavailable, Dr. Bojanapu explores alternatives: ABO-incompatible transplant with desensitisation protocol, marginal deceased donors, or bridging therapies (TIPS, TACE for HCC) that allow more time while a donor is identified.
4. Risk-Benefit Discussion
Every transplant involves surgical risk. A second opinion helps you understand whether your individual risk-benefit balance justifies transplant — and what quality-adjusted life years you can expect with and without transplant.
How to Get a Second Opinion from Dr. Srinivas Bojanapu
Option 1 — Tele-Consultation (Anywhere in India)
Share your reports digitally. Dr. Bojanapu will review them and provide a written second opinion, followed by a video or phone consultation. This is the fastest pathway — most patients receive an initial assessment within 48 hours of sharing reports.
Documents to share:
- Liver function tests (last 3–6 months)
- CT abdomen with contrast (within 3 months) — with volumetry if available
- MRI abdomen (if done)
- Liver biopsy report (if available)
- MELD score or values for INR, bilirubin, creatinine
- Endoscopy reports (EGD)
- Echocardiogram and pulmonary function test
- Previous transplant evaluation report or discharge summary from other hospitals
- Donor’s CT volumetry and fitness reports (if applicable)
Option 2 — In-Person Consultation in Bangalore
For complex cases or when a complete physical examination is needed, an in-person consultation at Dhaara Speciality Hospital, Yelahanka, Bangalore is recommended. Our team coordinates the appointment, additional investigations, and (if required) admission — all in one visit.
Second Opinion Success Stories
“Two hospitals in Delhi told us my father’s portal hypertension was too severe for transplant. Dr. Bojanapu reviewed the CT images, identified that the prior assessment was over-cautious, and performed a successful LDLT six weeks later. My father is now 18 months post-transplant and living normally.”
— Family from New Delhi
“Our donor (my wife) was rejected at another hospital because of mild fatty liver. Dr. Bojanapu suggested a 6-week dietary intervention, repeated the CT, and cleared her as a donor. My transplant was successful.”
— Patient from Hyderabad
“We were told our son (ABO blood group B) could only donate to another B patient. Dr. Bojanapu explained ABO-incompatible transplant as an option and performed the procedure successfully.”
— Patient from Mumbai
Frequently Asked Questions — Second Opinion on Liver Transplant
Is it appropriate to seek a second opinion?
Absolutely. A second opinion is not a criticism of your current doctor — it is standard medical practice for serious decisions. Most senior liver transplant surgeons encourage patients to seek multiple opinions for major procedures.
How long does a second opinion take?
Initial report review: 24–48 hours. Tele-consultation: within 3–5 days of report submission. In-person evaluation: within 1–2 weeks of inquiry.
Does a second opinion mean changing hospitals?
Not necessarily. You can return to your original hospital with Dr. Bojanapu’s written opinion. However, many patients who consult us do choose to proceed with transplant at Dhaara — particularly those coming from other cities who benefit from the combined cost advantage and expertise.
Is there a fee for the second opinion consultation?
Standard consultation fees apply. For urgent cases or patients from far-away cities, tele-consultation is available at a reduced fee. Contact our office for current rates.
Request Your Second Opinion Today
If you are dealing with a complex liver transplant situation and want an independent, expert assessment, contact Dr. Srinivas Bojanapu’s team now. We serve patients from every city in India — Delhi, Mumbai, Hyderabad, Chennai, Kolkata, Pune, Jaipur, Lucknow, and beyond.
WhatsApp / Call: +91 98450 23777
Email: info@liverdoctor.in
Dhaara Speciality Hospital, Yelahanka, North Bangalore — 560064
Share your reports and get an expert second opinion on your liver transplant case — within 48 hours.