@autoimmunecirr, Welcome to the Connect discussion about organ transplantation. I received a combined liver/kidney transplant in 2009 at the Mayo Clinic Rochester. Like you, I endured the struggle with energy along with other symptoms. It is my understanding that each one of us can exhibit a variety of different symptoms with liver disease (even if we have the same disease). Yes, it is hard to predict what could lie ahead. As patients our best option is to follow the advice of a good medical team, and to do everything in our own power to educate ourselves from reliable resources.
I was critically ill prior to my own transplant. Immediately after my transplant I began to feel better. It was as if someone had flipped a switch and everything began to work again. I count everyday as a blessing and I am forever thankful to my anonymous deceased donor.

I would like to share the link to the Connect Transplant Pages. No matter where you are in the transplant journey, this is an excellent link to information and resources. I refer to it often and especially enjoy the Newsfeed section.
https://connect.mayoclinic.org/page/transplant/

Since you are getting ready to undergo the pre transplant evaluation, I invite you to a discussion: Transplant Evaluation - What to Expect
https://connect.mayoclinic.org/discussion/transplant-evaluation-what-to-expect/

I will be looking forward to hearing more from you along the way. What are some questions that you would like to ask?

@autoimmunecirr I had my liver transplant in September 2016. It went great. Sure, some pain and discomfort in the first few days but I was doing very well quickly after that. When I went for my first post-transplant visit they were amazed at how well I looked, and I felt great too.
There is a profile of my experiences somewhere within this forum but frankly I am not sure how to get to it, maybe of the mentors could help with this. It goes into some detail about my pre-transplant and post-transplant experiences. If you have any specific questions though please feel free to ask.
For your MELD to be 27 so quickly is surprising. Do you know what caused this? My cirrhosis was caused by fatty liver (NASH). I am in the New England area, had my transplant at MGH in Boston. At that time the typical transplant was taking place in the low 30s but I was able to get a liver when my MELD was 28. From what I have read that is the typical MELD now for transplant in this region.
As a post-transplant patient the biggest problems are that the immunosuppressants cause me some lower digestive problems, and of course I have to be very careful of circumstances that could cause infections. In December of 2017, I caught Legionnaire's Disease, presumably at a function. I am sure that was because of my lower immunity since no one else was infected. As a result I am much more conscious of my vulnerability, and I try to be aware when we travel of where other transplant centers are, just in case. Hospitals that do transplants are more aware of the limitations of a post-transplant patient.
Overall though, I have to say "life is good". I feel great, and do everything.
JK