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4% versus 7.6%, P 0.05). OPO-Present livers were more likely to be shared nationally (11.0% versus 4.8%, P 0.001). Outcome analysis showed allograft survival of OPO-Present livers at 5 y was comparable to OPO-Absent livers (79.5% versus 80%, P = 0.34). The presence of an OPO surgeon was associated with decreased liver allograft discard and increased utilization of marginal donor organs. The OPO surgeon's presence represents a potential strategy to increase organ utilization nationally. The presence of an OPO surgeo