Given organ shortages and social and cultural concerns about alcohol use, transplantation for patients with alcoholic liver disease (ALD) remains controversial. Ethical concerns pertain to equity and utility in the allocation of scarce resources and social stigmatization of patients with a disease that is thought to be self-inflicted [1-5]. Moreover, patients with ALD have been subjected to additional protocols in the evaluation for transplant candidacy that are unique to ALD and can influence one's waitlist status for liver transplantation (LT).