Transplant Hepatology Fellowship at the University of Toronto
and Toronto General Hospital

Welcome and thank you for your interest in the University of Toronto Transplant Hepatology Fellowship Program.

Our liver transplant program was established in 1983 and it has grown to one of the largest in North America with over 200 adult liver transplants performed annually at our center. Our fellows benefit from the largest living donor liver transplant program in North America, innovative research and clinical protocols, and a strong teaching curriculum. It is our vision to train the future leaders in transplant hepatology with an outstanding clinical exposure and cutting edge research education.

We take great pride in educating the future leaders in the field of transplant hepatology.




Cynthia Tsien, MDCynthia Tsien, MD, MPH, FRCPC

Education Director,

Ajmera Transplant Centre

Assistant Professor of Medicine


Distinguishing Features of the Fellowship

Clinical Experience

Institutional volume: 200+ liver transplantations annually 
 Largest liver transplant program in North America (over 220 in 2016) 
Largest living donor liver transplantation program in North America (60+ per year) 
  • Donation after Neurologic Determined Death (NDD) and Circulatory Determined Death (DCD)
  • Liver transplantation with normothermic ex vivo preserved liver grafts
  • Elective and emergency endoscopy of transplant patients
  • Multidisciplinary transplant team
  • Rotations in transplant related areas such as infectious disease, radiology possible 


Fellows will experience the advantages of a “large” Fellowship program with 4 transplant hepatology fellows:

  • Focus on the transplant specific disease process
  • On-call scheduling and cross-coverage
  • Facilitates time off without compromising clinical experience
  • Camaraderie


The Fellowship program offers multiple opportunities for additional learning through:

  • Transplant Seminar Series
  • Pathology and GI Interdisciplinary conferences
  • Tumor boards
  • Transplant Conferences: Live Donor, Listing, and Quality
  • Multi-Organ Transplant Rounds & Invited Professors
  • Journal Clubs
  • Quality control rounds

Research Opportunities

For Clinical and Outcomes Research, Fellows can expect one project in the first year, and multiple projects in their second year of their fellowship. Our transplant program maintains an extensive transplant database including large amount of door and recipient data. The database is overseen by a research analyst, who assists with data extraction ad analysis. In addition, our program includes a biostatistician to assist with the data evaluation. There are also Basic Science opportunities for laboratory-based research on the topics of:

  • Ischemia/reperfusion
  • Genomics/proteomics
  • Dendritic cells
  • Tolerance
  • Stem cell biology

Upcoming Events

International Liver Rounds

Each month, we invite past and present staff from around the world to meet with members of our Transplant Hepatology Program to share the newest updates in Transplant Hepatology from of one of our renowned speakers.  

News & Announcements