Dr. Thomas Leventhal, an Associate Professor of Transplant Hepatology, and Dr. Siobhan Flanagan, an Associate Professor of Interventional Radiology, discuss the collaborative evolution in managing portal hypertension. They emphasize the significance of teamwork in complex liver conditions, particularly through TIPS procedures. Insights into current best practices, including patient assessment and biopsy challenges, are shared. Looking ahead, they explore groundbreaking advancements like stem cells and lab-grown organs, which could transform transplant outcomes and reduce immunosuppression.