@cehunt57 Thanks to your daughter for her donation! I am always in awe of people who make that choice to donate and are so selfless in their decisions. Back when she asked about living liver donation/paired exchange, Mayo required liver donors to have a significant relationship with their recipient. That has changed, and now we have a liver nondirect donation program as well as a liver paired exchange program. Since the liver and kidney recipients are on separate lists, I don't know if it's possible to donate a kidney in exchange for a liver, but we definitely now allow liver patients to donate to people they don't know. You all can find more info about these programs here: https://www.mayoclinic.org/tests-procedures/living-donor-transplant/about/pac-20384787.