Hi, How are you? Congratulations on your liver transplant. I am so sorry to hear that you continue to have pain issues post transplant. This is not uncommon symptom among liver transplant patients. Since we make a huge incision on the belly for the transplant operation, and then sew the muscles back together, there will be pain along the incision. But one year post transplant, the pain should have subsided. I would make sure there is no infection or an incisional hernia in your scar. If those are ruled out, then mild stretching exercises have helped a lot of my patients over come incisional pain. Make sure to do this only under close supervision of a doctor or a physiotherapist. Also over the counter analgesics like paracetamol should also help. Regarding your raised alk phos, please provide details regarding your bilirubin levels also. And what was the indication for the transplant (auto-immune vs infection vs alcohol) ? And also what the last biopsy looked like? This will better help me discuss regarding the raised alk phos levels. Hope this helped and please do not hesitate to contact me for any details required - rxsuresh@gmail.com