Long-Term Outcomes of Living Liver Donors

Living donor liver transplantation offers life-saving therapy with excellent donor safety and long-term outcomes. Most donors achieve full recovery within months, though some experience persistent physical, psychological, and financial challenges. Mortality rates remain below 0.4%, and health-related quality of life typically equals or exceeds population norms. Predictors of poorer outcomes include smaller remnant liver size, female sex, prolonged recovery, and limited social or financial support. Advances in minimally invasive techniques have further improved short-term donor experience without compromising outcomes. Comprehensive long-term surveillance and individualized psychosocial support remain integral to donor care.