 Hello, my name is Dr. Sanjay Goval. I am a senior consultant in hepatobiliary surgery and liver transplantation at the Manipal Hospital's Bangalore. So in the early weeks after liver transplantation, you are on a lot of medication and quite a high dose of immunosuppression. So you need to be monitored frequently once or twice a week, ideally twice a week and blood tests would need to be done frequently to adjust the doses of the medication, particularly the immunosuppression. It's also necessary during that time to check frequently so that we detect infections if they should occur quickly and institute the appropriate treatment as quickly as possible. However, once you're over about the first six weeks or so, the frequency of testing becomes less. It may become from instead of twice a week it'll become once a week and then by around three months it would be approximately once in two weeks and then by around six months we're looking at approximately once a month kind of testing and you know long term then it would become once in three months and gradually the frequency of testing and you know visits to the hospital would reduce. Unfortunately, you need to be on follow-up forever. We would not advise anyone to stop coming and doing seeing at their doctor or stop doing the tests but the frequency of those visits reduce significantly and ultimately it would be about once in three months. So the most important medications that are needed after a transplant are medicines that prevent rejection and these are essentially three medicines, steroids, takrolimus and another drug called celcept. The steroids are withdrawn over a period of about three months after the operation. Celcept is withdrawn over a period of about a year and a half or so after the operation but takrolimus needs to continue lifelong. The dose of this drug reduces significantly as time goes on but you can never really stop it. So that's one group of drugs that's to prevent infection. There is another group of drugs that you need to take in the early period after your transplant because you're on high immunosuppression, you're at risk of certain uncommon infections and we need to give you drugs to prevent you from getting these rare and uncommon infections like CMV etc. So you need to be on drugs to prevent those from happening. So these are the two major groups of drugs need to be on but rest assured that about a year, a year and a half after transplant you'll be on just one drug in most instances.