1p36 deletion syndrome is a rare, genetic disorder often affecting neurological, cardiac, renal, and physical
development, without a known associated liver manifestation. We present the case of a young woman with
1p36 deletion syndrome and chronic liver failure requiring liver transplant evaluation who subsequently
went on to successfully undergo orthotopic liver transplantation. With multidisciplinary post-operative
care, including developmentally appropriate rehabilitation and strong family support, >3-year posttransplant survival has been achieved. This case, the first reported liver transplant among patients with 1p36
deletion syndrome, suggests that liver transplantation can be safely performed in patients with this condition.