A split liver transplant is an advanced procedure in which a single deceased-donor liver is surgically divided into two working grafts so it can save two patients at once most often one child and one adult. It is one of the most technically demanding operations in transplant surgery, and it directly answers India's shortage of donor organs by doubling the value of every liver donated. At Liver Surgeons in Delhi, split liver transplantation is led by Dr. Ashish George, a specialist liver transplant and HPB surgeon with more than 15 years of experience. The donor liver is allocated through the national NOTTO system as part of a deceased donor liver transplant, then precisely divided the smaller left lateral segment for a child and the larger right lobe for an adult. Because our team combines a dedicated split-liver surgical unit with a full paediatric liver transplant programme under one roof, families across Delhi NCR and the rest of India come to us for this complex, life-doubling surgery.
Advanced surgical solutions for lasting pain relief and restored mobility
Two lives from one donor. A single liver, precisely divided, can save both an adult and a child the most ethical possible use of a scarce organ.
A lifeline for children. Young patients often wait years for a size-matched organ. A split liver dramatically shortens that wait.
Proven outcomes. In experienced hands, graft and patient survival for split transplants are comparable to whole-liver transplants.
Anatomical precision. The donor liver is divided into a left lateral segment (about 20%, transplanted into a child) and a right lobe (about 80%, transplanted into an adult).
Liver regeneration. Both segments regrow toward full functional size in their recipients within about 6–8 weeks.
Ideal candidates. Most often a paediatric–adult pair — for example, a child with biliary atresia and an adult with cirrhosis. In rarer cases, when the liver is large enough, two adults can be treated.
Where a suitable deceased-donor liver isn't available, families may instead be evaluated for a living donor liver transplant, or for a dual-lobe liver transplant that combines grafts from two living donors for a single large recipient.
| Factor | Split liver transplant | Whole liver transplant |
|---|---|---|
| Organ availability | One donor liver treats two recipients | One donor, one recipient |
| Waitlist time | Shorter, especially for children | Longer — often 6–18 months |
| Technical complexity | Higher — needs a specialist team | Standard |
| Outcomes | Comparable graft survival in expert hands | Slightly higher in routine cases |
Best suited to: children needing an urgent transplant, and high-demand regions such as Delhi where donor organs must be used to their fullest.
Vascular & biliary anatomy. The division must preserve the blood supply and bile ducts of both grafts — millimetre-level work.
Graft-size matching. A paediatric recipient needs a precisely sized left lateral segment, planned in advance.
Speed. Both grafts must be transplanted within a tight window to stay viable.
How we excel: 3D imaging and virtual pre-surgical planning from CT/MRI, hybrid theatres with real-time imaging, and a dedicated split-liver team led by Dr. Ashish George working alongside paediatric specialists.
Around 85% one-year survival for both recipients.
Bile-leak and vascular complication rates kept low through microsurgical technique.
Strong paediatric results, with most children returning to school and normal growth within a year.
After surgery, every recipient moves into structured post-transplant monitoring and lifelong immunosuppressive therapy to protect the new graft.
Split liver transplantation is not routine surgery — it should only be done by a high-volume team that performs it regularly. When you compare a split liver transplant hospital or surgeon in Delhi, weigh what truly drives outcomes: the surgeon's specific split-liver experience, whether the centre runs both adult and paediatric transplant programmes together, 24/7 ICU and organ-retrieval capability, advanced 3D surgical planning, and transparent, NOTTO-compliant ethics.
On every one of these measures, Dr. Ashish George and the Liver Surgeons team rank among Delhi's most experienced split liver transplant specialists — one of Delhi NCR's most active split-liver programmes, combined adult–paediatric expertise under one roof, and complete pre- and post-transplant care. For more on evaluating a surgeon, see our guide on how to find the best liver transplant surgeon in Delhi.
A split liver transplant at our Delhi centre typically costs in the range of ₹30–40 lakh per recipient, covering surgery, hospital stay and initial post-transplant care. The exact figure depends on the recipient's condition and length of stay. We offer insurance support and give a clear, itemised estimate before you proceed.
If you or your child needs a transplant, talk to a specialist about whether a split liver transplant is the right option. Book a consultation with Dr. Ashish George in Delhi today.