Learn about Organ Transplant Swap Treatment in India — how it works, who it is for, recovery timelines, and what to expect before and after surgery. Compare hospitals and doctors experienced in Organ Transplant Swap and request assistance for cost estimates or appointments.

About Organ Transplant Swap

A liver transplant swap, also known as a paired exchange or domino transplant, is an innovative surgical strategy designed to overcome donor-recipient incompatibility. This procedure involves two or more donor-recipient pairs where the intended donors are not medically compatible with their own loved ones. By swapping donors between the pairs, each recipient receives a compatible liver from a stranger's donor, enabling life-saving transplants that would otherwise be impossible. This approach significantly expands the donor pool, reduces waiting times, and offers a crucial alternative for patients with rare blood types or high antibody levels. It represents a collaborative, highly coordinated effort in advanced transplant medicine.

Key Highlights

    Overcomes donor-recipient blood type or antibody incompatibility.Expands the donor pool, reducing waiting times for a transplant.Enables transplants for patients who would otherwise have no compatible living donor.Performed simultaneously in a coordinated effort at a specialized transplant center.Utilizes healthy, willing living donors to save multiple lives.

Who is this surgery for?

  • End-stage liver disease (ESLD) from causes like cirrhosis, hepatitis, or genetic disorders.
  • A willing living donor who is medically suitable but incompatible (e.g., blood type mismatch) with their intended recipient.
  • Presence of high levels of pre-formed antibodies in the recipient against the donor's tissue.
  • The patient is on the transplant waiting list but faces a long wait for a deceased donor organ.
  • Failure of other liver disease treatments and meeting general criteria for liver transplantation.

How to prepare

  • Comprehensive medical evaluation of all donors and recipients, including blood tests, imaging, and cardiac/pulmonary assessments.
  • Psychological and social work evaluations to ensure donor voluntarism and recipient support.
  • Cross-matching and sophisticated tissue typing to confirm new pair compatibility.
  • Detailed surgical planning and scheduling for simultaneous operations.
  • Pre-operative counseling, fasting, and medication adjustments as directed by the transplant team.

Risks & possible complications

  • Standard surgical risks: bleeding, infection, blood clots, and adverse reactions to anesthesia.
  • Risks for the donor: bile leak, liver function changes, and rare but serious complications from hepatectomy.
  • Risks for the recipient: organ rejection, biliary complications, and vascular issues.
  • Risk of primary non-function (the new liver does not work initially).
  • Long-term need for immunosuppressant medications and their associated side effects (infections, kidney issues, diabetes).

Recovery & hospital stay

  • Initial recovery in the ICU followed by a transplant ward, with close monitoring of liver function.
  • Recipients start immunosuppressant medications immediately to prevent rejection.
  • Donors typically have a shorter hospital stay but require several weeks to recover fully.
  • Regular follow-up visits for blood tests, imaging, and medication level checks.
  • Gradual return to normal activities, with a focus on nutrition, infection prevention, and adherence to the lifelong medication regimen.
  • checked Typical hospital stay: 14-21 days for recipient; 7-10 days for donor
  • checked Expected recovery time: 3-6 months for full recovery (recipient); 2-3 months (donor)

Frequently Asked Questions

If you are considering organ transplant swap in India, these questions and answers can help you make a confident, informed decision.

Procedure cost in other countries

Here is an overview of how the estimated cost, hospital stay, and recovery time for organ transplant swap compare across other countries where we have data.

Country Estimated cost range Typical stay Recovery time View details
India USD 27,192 – USD 48,945 14-21 days for recipient; 7-10 days for donor ~ 3-6 months for full recovery (recipient); 2-3 months (donor) Know More
Turkey USD 201,313 – USD 362,363 14-21 days for recipient; 7-10 days for donor ~ 3-6 months for full recovery (recipient); 2-3 months (donor) Know More

Top hospitals for Organ Transplant Swap in India

These partner hospitals in India have dedicated liver transplantation teams and experience managing patients undergoing organ transplant swap.

Manipal Hospital Whitefield

  • IconBangalore, India
  • Icon105 Doctors

Kamineni Hospital, Tadigadapa

  • Iconvijayawada, India
  • Icon44 Doctors

Gem Hospital Perungudi

  • IconChennai, India
  • Icon41 Doctors

Miot Hospital Chennai

  • IconChennai, India
  • Icon250 Doctors

Nanavati Max Hospital

  • IconMumbai, India
  • Icon187 Doctors

Gem Hospital Coimbatore

  • IconRamanathapuram, India
  • Icon20 Doctors
PATIENT REVIEW

Had my gallbladder out at MGM....

Had my gallbladder out at MGM. The surgery itself went fine, but the first two days after were rough. Dr. Subramanian was really clear about what to expect pain-wise and adjusted my meds a couple times until we found what worked. He didn't just send me home and forget—the nurses checked in on his instructions. It wasn't fun, but I felt managed, not just processed.

Liver Transplant Specialists for Organ Transplant Swap

Explore experienced liver transplant specialists who regularly perform organ transplant swap and provide pre- and post-operative care in India.

Dr. Karthik Mathivanan
  • 14 Years Experience
  • Liver Transplant Specialist
Speaks: English, Tamil, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Miot Hospital Chennai

OPD-desk synced • Updated
Dr. Vimalraj Velayutham
  • 19 Years Experience
  • Liver Transplant Specialist
Speaks: English, Tamil, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Miot Hospital Chennai

OPD-desk synced • Updated
Dr. P Venkata Sagar
  • 5 Years Experience
  • Liver Transplant Specialist
Speaks: English, Tamil, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Miot Hospital Chennai

OPD-desk synced • Updated
Dr. Raghavendra Babu
  • 24 Years Experience
  • Liver Transplant Specialist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Yeshwanthpur

OPD-desk synced • Updated
Dr. Lohit Shetty Raju
  • 15 Years Experience
  • Liver Transplant Specialist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Sarjapur Road

OPD-desk synced • Updated
Dr. Prasanna
  • 10 Years Experience
  • Liver Transplant Specialist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Sarjapur Road

OPD-desk synced • Updated
Dr. Rajiv Lochan J
  • 34 Years Experience
  • Liver Transplant Specialist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Old Airport Road

OPD-desk synced • Updated
Dr. Lohit Shetty Raju
  • 15 Years Experience
  • Liver Transplant Specialist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Old Airport Road

OPD-desk synced • Updated
Dr. Aravind Kidambi Seshadri
  • 23 Years Experience
  • Liver Transplant Specialist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Old Airport Road

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Dr. Nalankilli. V. P
  • 21 Years Experience
  • Liver Transplant Specialist
Speaks: English, Tamil
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Gem Hospital Coimbatore

OPD-desk synced • Updated
Dr. Rajiv Maharaj
  • 11 Years Experience
  • Liver Transplant Specialist
Speaks: English, Tamil
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Gem Hospital Coimbatore

OPD-desk synced • Updated
Dr. B Shankar
  • 11 Years Experience
  • Liver Transplant Specialist
Speaks: English, Tamil
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Gem Hospital Coimbatore

OPD-desk synced • Updated
Dr. N. Anand Vijay
  • 22 Years Experience
  • Liver Transplant Specialist
Speaks: English, Tamil
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Gem Hospital Coimbatore

OPD-desk synced • Updated
Dr. Rajiv Lochan J
  • 34 Years Experience
  • Liver Transplant Specialist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Hebbal

OPD-desk synced • Updated
Dr. Manoj Kumar Y L
  • 9 Years Experience
  • Liver Transplant Specialist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Hebbal

OPD-desk synced • Updated
Dr. Aravind Kidambi Seshadri
  • 23 Years Experience
  • Liver Transplant Specialist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Hebbal

OPD-desk synced • Updated
Dr. Magnus Jayaraj Mansard
  • 27 Years Experience
  • Liver Transplant Specialist
Speaks: Tamil, English
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Gem Hospital Perungudi

OPD-desk synced • Updated
Dr. Samir R. Shah
  • 28 Years Experience
  • Liver Transplant Specialist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Nanavati Hospital Mumbai

OPD-desk synced • Updated
Dr. Amith K Pakkala
  • 26 Years Experience
  • Liver Transplant Specialist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Nanavati Hospital Mumbai

OPD-desk synced • Updated
Dr. Prashant Bhangui Vilas
  • 22 Years Experience
  • Liver Transplant Specialist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Medanta Hospital Gurgaon

OPD-desk synced • Updated
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