*Purpose: Many Hispanic Americans have misconceptions about transplantation due to language and cultural differences, which can make them less likely to undergo liver transplant (LT) services relative to other ethnicities.

*Methods: A retrospective review of our center’s (Houston, TX) data was performed to identify and mitigate potential barriers to access and care for this population, which comprises 39.7% of our state’s population, so all patients have equity and access to care. Patients receiving LT between January 2020 and October 2021 (n=173) were analyzed and results were compared to two other transplant centers in Houston and statewide averages.

*Results: Our center transplanted significantly fewer Hispanic patients than other centers in our area, but 1-year outcomes were statistically similar across all ethnicities. However, our ongoing efforts resulted in a 28% increase in year-over-year Hispanic LT numbers between 2020 and 2021 to date. Through October, Hispanic patients received LT at a rate equal to their referrals (28%). We also analyzed the reasons Hispanic patients were not eligible for transplant at our center. Patients were unable to receive LT due to problems with insurance (49%), psychosocial contraindications (14%), and medical contraindications (11%).

*Conclusions: Continued outreach and education efforts will help us provide much-needed LT services to this important population.

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