Hello @elevinton. If you don't mind me asking, how much is a liver supposed to weigh? 15-25 lbs sounds like an incredible number, but then again, I am not positive on what it is actually supposed to be. Here is a discussion you may want to check out as well that has a few members sharing their story with PKD, https://connect.mayoclinic.org/discussion/pkd-kidneys-removed-at-time-of-transplant/. I would also like to invite back @natalieo, to share her experience with liver cysts. @elevinton, if you don't mind sharing, has your provider or transplant surgeon talked with you about any options to shrink the size of the cysts or the size of your liver?