 Hi, I am Dr. Srikanth, Pediatric Ascentology Consultant at Manipal Hospital in Bangalore. So today I am going to talk to you about pediatric liver transplantation. So in this we will see why we do that, when we do that and how we are going to do that and whether it is very essential or not. So the first thing is why we do that. So liver transplantation is one of the treatment options for liver failure. So liver failure can happen because of various reasons that can happen suddenly like in certain infections like viral hepatitis and certain poisoning. In this situation when liver stops functioning acutely we call it as acute liver failure. So in this situation liver transplantation is the only option to save the chain. And apart from that certain other problems we label it as metabolic liver disease. They can counter damage the liver and gradually the liver will go beyond the point which is not reversible. So in this situation liver transplantation becomes only a treatment option. So now let us see what all conditions require liver transplantation. So you can roughly see that less than one year of each certain structural and cognitive problems that chain has gone with certain defects in the liver. So that requires liver transplantation to name a few such as biliary atresia, certain metabolic liver diseases. Apart from that the chain is more than one year and has been normal during the first two years of life. Then certain problems such as wilson's disease, autoimmune hepatitis and other infections and the certain metabolic liver diseases can present as liver disease in this age group. Liver can fail and in that situation only treatment options liver transplantation. And it is as of now so that is the only definitive treatment for many of the liver conditions. So the next question is when we do it. So exactly timing of transplantation is when the liver goes beyond that point of recovery then it is exactly done. So there are two types of transplant procedures technically. So one is it depends on who is donating the liver. If a living person donates then it is called living donor or live donor liver transplantation or LDLT. It's unfortunately a deceased person like for example a low-traffic accident or dead donor transplant donates it. So then it is called deceased donor liver transplantation. So based on the scenario based on the necessity at the time so this is made based on discussion with the patient's team. So these are the two types of transplantations available. So here we at Manipal we do transplantations for various liver diseases starting from delirious, cirrhosis because of various problems such as wilson's disease, autoimmune disease and for many more conditions. Here at Manipal we have a great team of surgeons, physicians and the supporting staff intensive care unit and all the stakeholders modeling the pediatric liver transplantation. So I can assure you that we can do an excellent result if your chain requires liver transplantation.