Free, plain-language help on being listed at more than one liver transplant center — who it's for, how it works under UNOS/OPTN rules, and the questions to ask your team. Two PDFs: a 17-page guide and an 11-page fillable workbook. Delivered to your inbox and viewable right on this page.
Read the guide, then work through the workbook. View them right here or save the PDFs.
The plain-language guide: who dual listing is for, how it works under UNOS/OPTN rules, and how to compare centers honestly. 17-page PDF.
The companion workbook: type your answers straight into the form fields — self-assessment, center comparison, and questions for your team. 11-page fillable PDF.
Drop your email and we'll send both documents. Always free. Public information only — not medical advice. Unsubscribe any time.
Dual listing — also called multiple listing — means being on the liver transplant waiting list at more than one transplant center at the same time. It is permitted under UNOS/OPTN rules. Each center evaluates you independently and you must meet each center's criteria, but there is no rule against being listed at more than one center.
Patients consider dual listing because transplant centers differ in:
Listed at a center with a long wait, with no clear path forward. Considering whether a second center could help.
Family members or caregivers comparing transplant programs and trying to understand what's allowed.
People whose MELD score does not reflect the full severity of their illness, looking for centers that may evaluate that nuance.
Read the full article, Dual Listing for Liver Transplant: How Multi-Listing Works, for the evidence, the safety questions, and a step-by-step plan.
Yes. National Friends is a patient advocacy nonprofit. We do not sell our workbooks or your contact information. The workbook is delivered free by email.
Yes. Dual listing is allowed under UNOS/OPTN rules. Each center has its own evaluation process, and you must meet each center's criteria independently — but the practice itself is permitted.
You must complete separate evaluations at each center, meet each center's medical criteria, have the ability to travel to either center within their time requirements, and have insurance coverage that both centers accept.
After you opt in, we will deliver the Dual Listing Guide and may include occasional plain-language updates on liver transplant pathways. Every email includes a one-click unsubscribe link.
No. This page and the workbook provide general patient education only. Always consult your healthcare team for decisions about your care.
See which centers have shorter wait times and how they compare on outcomes.
Understand your rights as a patient seeking evaluation or second opinions.
The plain-language article on dual listing — context for the workbook.
Medically reviewed by James F. Trotter, MD and Joseph S. Redman, MD, PhD of the National Friends Medical Advisory Board on . Reviewers check clinical statements against the cited sources; data tables come from the public SRTR program-specific reports and OPTN policy.
Published by Friends of the National Liver Waiting List, a 501(c)(3) patient advocacy charity. Updated . Not medical advice: talk with your hepatologist or transplant team about your own care.
