“…In the case of ALD, relapse of alcohol use disorder after the transplant is associated with recurrent alcohol related cirrhosis and cirrhosis associated death. 57 Historically, this has served as a justification for the alcohol abstinence rule: it was assumed that those actively using alcohol would both be nonadherent with treatment and continue to consume alcohol posttransplant, which could potentially lead to cirrhosis recurrence in the transplanted liver. However, as addressed earlier, recent evidence shows the importance of the 6-mo abstinence rule may be overemphasized, as patients with ALD who have not met the 6-mo abstinence rule may still have good patient and graft survival when they are carefully selected, have appropriate social support, have insight into the cause of their liver disease, and are connected to addiction specialists.…”