Published online Mar 27, 2015. doi: 10.4254/wjh.v7.i3.460
Peer-review started: August 30, 2014
First decision: November 19, 2014
Revised: December 3, 2014
Accepted: December 16, 2014
Article in press: December 16, 2014
Published online: March 27, 2015
Core tip: Liver transplantation is a life-saving procedure for many patients with end stage liver disease therefore it is of utmost importance to ensure equity in its distribution. Recently, growing attention has been placed on the issue of gender disparity in access to and receipt of a liver transplant. Factors contributing to this disparity include important differences in the etiology of underlying liver disease and indications for liver transplant that differ by gender. Systematic bias against women also appears to exist in many of the crucial steps of organ allocation. Better understanding of those mechanisms and their solutions are needed to improve liver transplantation rates in women.