The Transplant Unit of the Royal Prince Alfred Hospital is a well supervised, large volume unit. The unit covers both kidney and liver transplantation, but the primary role of the Transplant Fellow is in liver transplantation. There is also a SET trainee whose primary responsibility is kidney transplantation. The unit performed 85 liver transplants in 2015. In addition, 13 children were transplanted at the Westmead Children’s Hospital. Although the Fellow does not routinely attend paediatric liver transplantation, there is sufficient flexibility to facilitate this if the Fellow has a special interest in paediatric transplantation. The unit performs living donor liver procurement procedures (adult to child) once or twice a year. The Fellow has excellent supervised access to the transplant procedure.

Deceased donor procurement in NSW is shared 50:50 between RPA and Westmead Hospital. In 2015, there were approximately 130 deceased organ donors in NSW. There is sufficient supervised exposure to both kidney-only and multi-organ donation to enable the Fellow to learn the procedures.