Jehovah's Witness patients who refuse transfusions have generally not
been felt to be candidates for liver transplantation owing to the freq
uent requirement for blood transfusions during liver transplantation.
This is the first report to our knowledge of successful emergent liver
transplantation without the use of blood or blood products in a Jehov
ah's Witness. The surgical and anesthetic strategies employed in achie
ving a successful outcome are discussed.