Understanding your options for multiple listing
Key Takeaway: Dual listing can increase your chances of receiving a transplant by giving you access to organs from multiple geographic areas. It requires separate evaluations but is allowed and may reduce wait 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. This is completely legal and allowed under UNOS/OPTN rules.
Why would someone do this? Because different centers have different:
Here's what you need to know about the process:
You must be able to reach any center where you're listed within their required time (often 4-8 hours).
Both centers must accept your insurance. Check coverage for evaluations at multiple centers.
Managing appointments, records, and communication with multiple medical teams takes effort.
Dual listing isn't necessary for everyone. Consider it if:
Discuss this option with your transplant coordinator. They can help you understand whether it makes sense for your situation.
Dual listing (also called multiple listing) means being on the transplant waiting list at more than one transplant center simultaneously. This can increase your chances of receiving an organ offer.
Yes, dual listing is allowed by UNOS/OPTN rules. However, each center has its own evaluation process, and you must meet each center's criteria independently.
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.
Disclaimer: This page provides general information only. It is not medical advice. Always consult your healthcare team for decisions about your care. Last updated: February 2026.