Dr. Chetan Kalal, DM (Hepatology)
Medical Hepatology & Liver Transplant Medicine — Mumbai, India | Global Virtual Consultations
The Difference Between a Surgeon and a Hepatologist
Most "liver transplant specialists" are surgeons. They operate. They leave.
Dr. Kalal is a DM Hepatologist. He manages your liver disease medically, determines if you actually need a transplant, optimizes your condition pre-operatively, and oversees your immunosuppression and long-term care post-transplant. This is the difference between a one-time procedure and a 20-year survival strategy.
First DM Hepatologist of Maharashtra. Trained at the country's premier institute. This isn't a title — it's a guarantee that your care is managed by someone who understands liver disease as a continuum, not just a surgical event.
What Patients Actually Come Here For
1. Transplant Candidacy Assessment — "Do I Actually Need This?" Not every cirrhotic patient needs a transplant. Not every elevated MELD score is actionable. Dr. Kalal provides:
Objective transplant candidacy evaluation using MELD-Na, Child-Pugh, and portal hemodynamics
Alternative pathway planning if you're not a candidate (TIPS, BRTO, medical optimization)
Honest contraindication screening — if transplant won't help, you'll know why
2. Second Opinion — "My Doctor Said Wait. I Can't Afford To."
Complex decompensated cirrhosis with "unclear" prognosis
Post-transplant complications mismanaged by primary team
Drug-induced liver injury (DILI) requiring adjudication
Hepatocellular carcinoma (HCC) — resection vs. transplant vs. locoregional therapy
3. Virtual Consultations — For Patients in the US, UK, UAE, Canada, Australia, Singapore
Pre-transplant evaluation for NRI patients considering surgery in India
Post-transplant follow-up for patients who had surgery in India but live abroad
Medication reconciliation — immunosuppression protocols, drug interactions, rejection surveillance
Turnaround: 48-72 hours for non-urgent cases. Same-day for acute decompensation.
4. IPD Expert Management — Mumbai Direct admission for:
Acute-on-chronic liver failure (ACLF)
Refractory ascites and hepatorenal syndrome
Variceal bleeding management
Encephalopathy refractory to standard care
Clinical Transparency — What the Data Actually Says
Liver Transplant in India: The Real Numbers
- Cost: $22,000–$45,000 USD (vs. $550,000–$878,000 in the US)
- One-year survival at top centers: 85–90% (comparable to US/Europe)
- Annual volume in India: 4500+ transplants
- Living donor requirement: First-degree relative only (parent, child, sibling, spouse with legal proof)
What this means for you: If you're an international patient, you cannot get a deceased donor liver in India. You need a living donor. Dr. Kalal will tell you upfront if your donor is medically suitable and if your case is viable — before you spend money on travel.
Geographic Coverage — Mumbai & Western Suburbs
Primary Practice: South Mumbai, Worli, Dadar, Lower Parel, Pali Hill (Bandra) Extended Consultations: Bandra, Khar, Juhu, Andheri, Kandivali, Borivali, Navi Mumbai, Thane, Virar, Vasai
Why Patients Choose Dr. Kalal Over "Top 10" Surgeons
| Typical Liver Transplant Surgeon | Dr. Chetan Kalal, DM Hepatology |
|---|---|
| Operates, then transfers post-op care | Manages pre-op, peri-op, and post-op medically |
| Sees you for 30 minutes pre-surgery | Oversees your immunosuppression for years |
| Focuses on surgical technique | Focuses on your 5-year and 10-year survival |
| "You're not a candidate — goodbye" | "You're not a candidate — here's what we do instead" |
The Clinical Stance
"I've seen patients fly from London with a MELD score of 12 who were told they 'need a transplant immediately.' I've seen patients with MELD 28 who were medically optimizable and never needed surgery. The difference isn't the number — it's who's reading it. My job is to tell you exactly where you are, what your real options are, and what happens if you do nothing."
How to Book
Website: drchetankalal.com
Virtual Consult: Upload imaging + labs + prior notes → Structured assessment within 72 hours
IPD Admission: Direct referral for acute decompensation
Second Opinion: Full case review with written directive
Dr. Chetan Kalal
DM Hepatology | Liver Transplant Medicine
Mumbai, India | Global Virtual Consultations