In this episode we will explore two challenging transplant surgery cases. In the first, we discuss Nutcracker syndrome and the unique ethical questions that accompanied a living donor case. In the second, we examine a perplexing post-operative development in a complicated liver transplant patient.  Learning Objectives ·       Understand the presentation and general treatment strategies for renal nutcracker syndrome ·       Discuss protocol and ethical considerations for living donor renal transplants ·       Review portal hypertension physiology, clinical manifestations, and options for treatment Please visit behindtheknife.org to access other high-yield surgical education podcasts, videos and more.