Back ground: Counseling is the process of helping a patient to recognize and cope with
stressful psychological or social problems, to develop improved interpersonal relationships and to
promote personal growth. It involves providing emotional, intellectual, and psychological support
to patients. The aim of this study: was to assess the effect of counseling on liver transplant
recipient through the following: Assessing recipient's needs as regarded to; physical,
psychological, spiritual and social. Planning and implementing the counseling sessions based on
need assessment. Evaluating the effect of counseling sessions on liver transplant recipient's
therapeutic compliance. Research design: A quasi experimental design was utilized to meet the
aim of the study. Setting: The study was conducted in liver transplantation outpatient clinic at El
Manial specialized Cairo University hospital. Subjects: A purposive sample, of 40 patients post
LT surgery from the LT outpatient clinic. Tools: LT recipient's needs assessment regarding
physical, psychological, social and spiritual information related to LT and evaluation of levels of
LT recipient's compliance pre and post counseling sessions. After construction of the tool, it was
evaluated by 9 expertise in the field of this study for content validity, face validity and reliability
of the tool. Results: There were high statistical significant difference between patients under
study pre and post counseling sessions regarding their compliance with the therapeutic regimen.
Conclusion: there was a satisfactory level of information post counseling sessions among LT
recipients. Recommendations: counseling programs for patients undergoing liver transplantation
should start from admission to the hospital tell discharge.