Confronting end-stage liver disease (ESLD), acute-on-chronic liver failure (ACLF), hepatorenal syndrome, or the intense post-operative recovery following a living-donor liver transplantation (LDLT) overseas represents one of the most clinically sensitive and immunologically delicate journeys in aeromedicine. Every year, hundreds of international hepatology patients and Non-Resident Indian (NRI) families travel to India’s world-renowned quaternary transplant networks…