Since the team and hospital provide a world class liver transplant service at a fraction of the cost of the Western centres, foreign patients regurlarly travel to the centre for liver transplants and other advanced liver surgery. This is especially true for those from near by countries such as Bahrain, Jordan, Syria, Bulgaria, Macedonia, Romania applies to countries as close as. Proximity to their home country and many cultural similarities are the other factors that make Istanbul a preferred destination for advanced medical treatment with these people. Many such patients suffering terminal liver disease or liver cancer have had successful liver transplants or other major liver operations by the team.

Contact, appointment setting, travel to Istanbul
The procedure is quite simple.

  1. The family should contact Dr.Yaman Tokat by e-mail, and send all the patient's relevant medical records by e-mail or fax or courier.
  2. After reviewing the medical details, Dr.Yaman Tokat will write back his opinion and whether the patient needs a liver transplant (or some other liver operation).
  3. If the patient wishes to pursue the transplant or other treatment at Florence Nightingale Hospital - Dr.Tokat will then send all the financial details and donor requirements that are relevant to the case.
  4. In case a transplant is advised, the family should identify the prospective liver donor(s) and inform Dr.Tokat. He will then advise some basic tests for the donor(s) in their home country so that the chances of the donor being finally accepted at Florence Nightingale Hospital are high and there is minimal delay in the transplant. The criteria for the suitable donor are given below.
  5. Once the donor is identify and tested, and the family is ready to travel to Istanbul Florence Nightingale Hospital, Dr.Tokat's office will help in the visa process.
  6. Upon arrival at Istanbul, the patient and his attendant's will be received at the airport by a hospital vehicle. The patient will then normally be taken to the hospital (½ hour drive from the airport) and admitted there straightaway. One attendant is allowed to stay with the patient unless the patient is in the ICU. With prior notice, A/C accommodation can be arranged near the hospital for the other attendants where they will be transferred from the airport.
  7. Emergency Ambulance and Transport Services: Our hospital provides emergency transportation of patients from within India and abroad both by land, air and train.

Assuming that a family donor is available, the patient should come over to Delhi with the idea of being here for a total of about 3 months including per-transplant evaluation and preparation, the actual transplant and stabilization in the immediate post transplant follow up period.

At Istanbul -a transplant evaluation will first be carried out to see if the patient needs transplant and whether he is fit for it. If a transplant is deemed suitable, the next step is to get a donor liver. If the patient waits for a cadaveric liver, his transplant will take place whenever the liver becomes available (few months). If he gets a family donor along, the transplant can take place within 15-20 days of reaching here. We get cadaver livers from time to time (although infrequently) but do not provide living donors.

After transplant, the patient will have to be in hospital for a month and in the vicinity of the hospital for follow up for another 4-6 weeks. After that Dr.Yaman Tokat team will establish contact with the patient's local liver specialist and make arrangements for the patient's long term follow up in his home country. From about 2-3 months after transplant, most patients lead an amazingly normal life.

The family donor is discharged from hospital after 7-10 days and allowed to go back to their country 10-15 days after which he is completely normal in every respect as he was before the liver donation.