For me TIPS was truly a life saver and has bought me more time before inevitable transplant. Specifically, I was having portal tension/pressure that would lead to my varicies in my esophagus to erupt. This internal bleeding would lead to many close calls in emergency room. I am fortunate not to have any complications with tips such as infections or having to get it opened up more in 10 years. Usually the surgeon will start with small bypass first and enlarge later if need be. Hope all goes well for your husband. 🙏