 My name is Ibu Kusenja, Iruinia. I'm coming from Rwanda. I'm sick in November 2018. When I went to the hospital and when they make amyri, they found a big tumor on my liver. But for the second time, they said that it is growing. And when it was growing, the surgery for liver in our country Rwanda was not available there. They made contact with Manipati Hospital and arrived here. Thank you very much Dr. Ravichand, who helped too much and who made the surgery. Fortunately, when the doctor opened, the tumor was operable. He told me that he removed slowly, slowly by slowly the tumor. It was not easy, but the tumor was removed. This lady presented to me with a large tumor from the liver. She had symptoms of early satiety, dyspepsia. She couldn't eat well and she went to local doctor and they did a scan. They found that it's a big tumor from the liver. She went to King Faisal Hospital and there they said it's a big tumor and we can't do the operation here in our hospitals. Therefore, they referred to us to Manipati Hospital. After thoroughly evaluating everything, I took her to the operation theater. I found that it's a large, 18 by 17 cm tumor sitting in the upper abdomen, upper tummy, was pushing the stomach, pancreas, geodinam and all the structures and that's why she was getting these symptoms. It was a difficult operation and because liver is supplied by big vessels and any injury to any of these vessels can cause a lot of problems, bleeding and you may end up losing the patient. So slowly we operated this patient successfully, we took out the full tumor. Liver surgeries are one of the most complicated surgeries. Luckily we could get through this operation and she is doing well.