 I am Dr. Biacolo Esomba, Obsesitian Gynaecologist, Cameroonian Citizen. Many years before, I was a Jax Nostate Hepatitis B patient that I come unfortunately across this diagnostic while doing second year of medical study that is in the years 2000. I went to a blood donation, they did me many exams. Hepatitis B was one of these exams and unfortunately I discovered that I have this virus in my body. I tried treatment but at this time, year 2000, there is no evidence of efficient treatment. 2021 on the February I have abdominal pain. So I go to see my doctor, he discover that I have appendicitis. So I undergo surgical treatment of appendicitis. While doing that, he discover that my liver is too much. Then I begin a treatment. After 10 more, I check again and my doctor discover that disease have increased. I was diagnosed liver cancer patient. My doctor refer me to Manipal Hospital Bangalore. When I arrived, I was well received by all the team. I was received by my doctor, Dr. Rajiv Lawson and we have our first meeting. When he came to see us about 3 months ago, I was really struck by his very calm demeanor and was also extremely pleased to know that he himself is an operating surgical gynaecologist in Cameroon. His problem was that he developed chronic liver disease due to combination of hepatitis B and delta infection and he had developed significantly large tumor masses in the liver. And his AFP level was also high. And it was a particularly challenging problem because we were not really sure at the outset as to whether we were going to offer him an operation to remove the tumor or to do a transplant. So after detailed evaluation here at the Manipal Comprehensive Liver Cancer Group, we decided that transplant would be the best option for him because doing just a resection would actually have led to a very high chance of recurrence in the remaining liver. But one particular challenge was that his tumor was slightly out of criteria for transplantation which is generally accepted by us all across the world. So what we did here was we actually gave him some bridging treatment. What is called as trans arterial chemoembolization and we controlled the tumor and we did a reassessment about eight weeks later where we proved that the tumor had not spread anywhere else. And with this we were able to offer a living donor liver transplant. My donor was also well received. Actually she is my sister who accept to come with me here to give me a chance to work up from this very advanced cancer, liver cancer. The operation was performed in a very successful manner with very minimal blood loss and in fact very minimal blood transfusion. He was in fact extubated at the end of the operation. We generally keep patients ventilated for around about one to one and a half days after liver transplant but Dr. Bayakolo was extubated at the end of the operation and this was a particularly interesting and very fulfilling aspect of his treatment and he was discharged at the end of like two and a half weeks after a transplant in a very good healthy condition. And we expect that his future will also be pretty bright and we intend to keep him under close follow up here. After the intervention, I am well recovering, I am very satisfied. I want to greet Dr. Rajiv Laushan and all his team. I pray God to help them continue, save lives and patients like me. I think what I'd like to say to finish this brief note is that at the comprehensive liver cancer group at Manipal Hospital we have an extensive cohort of sub-specialities working together and we are able to offer such complex treatment in a very fulfilling manner to patients. It's an absolute pleasure to see Dr. Bayakolo and his sister recover well after this extremely complex liver transplant operation and I do wish both of them a very long and happy healthy life.