Liver transplant tourism is travel for transplantation involving organ trafficking and/or transplant commercialism. Various medical, financial, and organizational factors play a role in transplant care including waiting lists, Model for End-Stage Liver Disease scores, and financial aid. We outline the international experiences with transplant tourism (TT) and its effect on their medical communities and patients. For clinicians providing care to patients involved in TT, we also discuss pretransplant counseling and posttransplant care. Liver Transplantation 26 276-282 2020 AASLD. liveR tRAnsplAntAtion, vol. 26, no. 2, 2020 Hindi et Al. Review ARticle | 277
TT ReformAt the Declaration of Istanbul (DoI) summit in 2008, international transplant researchers and politicians defined specific acts related to the process of illegal organ transplantation. The DoI acknowledged TT and provided ethical and social transplant guidelines for individual countries in an effort to curb TT. Moreover, the differences in definitions for travel for transplantation and TT were distinguished. Travel for transplantation is the movement of organs, donors, recipients, or transplant professionals across jurisdictional borders Zaid Hindi and Mayur Brahmania were responsible for the study concept and design and for drafting the manuscript.