*Purpose: Liver transplant candidates face several barriers to finding a potential live donor (PLD), such as lack of education or knowledge, or discomfort approaching others about living donation. The Live Donor Champion (LDC) intervention has helped kidney transplant candidates address and overcome these barriers. We created and piloted a liver-oriented LDC to determine feasibility and translatability for liver transplant candidates.

*Methods: We conducted a single-center Liver LDC pilot study of 43 adult, active liver transplant candidates and their champions. The Liver LDC is a three-month intervention to train champions for this advocacy role. We measured participant knowledge and comfort throughout the intervention. We compared outcomes of pilot participants to transplant candidates on our waiting list at the same time.

*Results: Pilot participants had a median age of 57 years old, median BMI of 29, were 58% female, 79% White, and had a median waitlist time of 925 days (Table 1). Candidate and champion knowledge scores were higher after completing the LDC program (from 85% to 90%, p=0.058). Additionally, 47% of participants received at least one PLD inquiry, with an average of 6 PLDs. During the study period, 7 (16%) participants received a DDLT and 4 (12%) participants received an LDLT. Compared to non-program participants on the waitlist at our center, LDC participants were 3.31 times more likely to receive an LDLT (SHR: _1.07 3.31 _10.26) (Figure 1).

*Conclusions: Liver LDC may increase knowledge about living donation and liver transplantation and help transplant candidates identify PLDs and undergo LDLT.

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