Hello! I really feel for you and your sibling. I was in a similar position 10 years ago. My mother also required a liver transplant, due to complications from Alpha-1. I, as her son, went thru the screening process to be a "live partial liver donor." I was a match, but unfortunately my liver had some fatty deposits, and I was disqualified. She was put onto the list, in the one territory of Virginia. In America, we have University Hospitals that specialize in bloodless surgery. University of Pittsburgh is one, University of Virginia (Charlottesville) is another. My mother received her much needed liver transplant from a deceased organ donor whom died in a car crash. However, even though she was in relatively good health, the liver never really functioned properly, and after 3 months of complications she passed away, never having left the UVa hospital. So trust me when I tell you: I've been there. Now let me tell you something else that the UVa doctors and nurses told me, my mother, etc in private. She was an RN as well, but also a recently "awake" JW. Anyway, the specialists told us down in Virginia that yes, they do the transplant as "bloodless" as is humanly possible, but that it's nearly impossible to get all the blood out. (like a steak, really) Also, they told us something else that was absolutely shocking; that 90% of JW's that came to UVa for the so-called "bloodless" transplant, had their blood previously stored to be used in the procedure, and that also they accepted other blood when needed from the blood supply. Let that sink in: 90% of JW's accepted blood when their lives were on the line. Guess what? When my mother need packed plasma, etc....she GOT IT. The symbol of life was not meant to be more important than the very life itself. I don't regret signing off on it one bit. Neither did she, as an RN or as a kinda-still believing JW. She wasn't going to risk her life for an ever-changing policy on blood. Remember, fractions had been banned at one, and in the 1970's, organ transplants were considered "cannibalism" and a DF'ing offense! Imagine how many people died from that asinine policy, needlessly! If you want to talk more with me, you may PM me. I hope things work out better for your sibling.