*Purpose: Background. Health disparities are present in transplantation. This is a retrospective review of liver transplant (LT) recipients determining the impact of race/gender on early liver transplant outcomes and 10-year survival.

*Methods: Methods. The records of LT patients at a single center were reviewed (2010-2020). Bivariate and subgroup analysis explored gender and race in demographic and psychosocial factors. Cox regression was used to estimate survival.

*Results: Results. There were 1297 subjects, 856 males (66%) and 441 females (34%). Racial groups included 1146 White (89%), 68 Black (5%), and 72 other (6%). Males were more likely to be employed at time of LT (p<0.01). Blacks were less educated (p<0.001). Females were more likely to have any history of mental illness, depression and anxiety (p<0.001). Males were more likely to be married (p=0.01), have any criminal history, and history of substance use/abuse (p<0.001). Blacks were more likely to have a criminal history and history of use of alcohol and illicit drugs (p<0.01). For clinical outcomes, males had a shorter wait time to transplant (41 versus 62 days, p=0.01), but equivalent length of stay and early mortality. Cox 10-year patient survival found no significant differences among genders or race when controlling for MELD, recipient and donor age, year of transplant, recipient criminal history and education.

*Conclusions: Conclusions. This study contains detailed demographic and psychosocial information of a large number of LT recipients. These results suggest similar post-LT outcomes when stratified by gender and race, though there were differences in the psychosocial make-up of the study groups. Likely, the Cox regression analysis controlled for these factors by including a history of criminality (p<0.01) and education (p<0.10), commonly identified markers for disparities.

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