I am just about 3 years post-liver transplant, and I have a similar bulge in my abdomen. I notice that it gets more pronounced after I eat. It almost looks like the bulge is in the shape of a liver - which is what I thought it was. Turns out, the bulge is actually my intestines pushing against the weakened abdominal wall. My posttransplant team explained to me that this was attributable to the surgery, that my abdominal wall was cut, and the muscle and fascia weakened. We are at higher risk of abdominal hernia as a result, and my team described my abdomen as “herniated”. My team is not concerned, as the herniation is not strangling my intestines - although should this happen, then I would need surgical repair. I feel great, exercise most every day, and unfortunately continue to have the bulge. I am careful when lifting or exercising and wear an abdominal binder when doing anything that puts stress on my abdomen. I have learned to live with my bulge, and really don’t want to undergo any additional abdominal surgery to repair it simply to look better. I have several transplant friends who somehow manage to have 6 pack abs after transplant. I never had them and certainly don’t have them post-transplant! I am so grateful to have my good health back and I won’t let the bulge change that.