When Sophie had her Kasai procedure, it had to be performed in Auckland, the only hospital in New Zealand with surgeons who specialize in this operation. The concentration of expertise in one location is crucial, as data shows that experience and frequency of performing the procedure directly impact the success rate.

Recovery after Kasai typically involves staying in Auckland for two to three weeks, sometimes longer. The short-term recovery focuses on monitoring jaundice, with the aim of seeing it disappear as the bilirubin levels in the blood normalize. The goal is complete bile drainage, which is indicated by normal bilirubin levels and the return of pigmented stools. However, outcomes vary; some patients experience partial drainage, where bilirubin levels drop but don't fully normalize, and some may see no improvement.

During the recovery period, nutrition is particularly important. Before and after the Kasai procedure, the focus is on optimizing the baby's diet to ensure they receive the necessary calories and nutrients. Special formulas with easily absorbable fats are often used, and supplements of vitamins A, D, E, and K are provided to enhance absorption. Nutrition plays a key role not just in immediate recovery but also in the medium-term health and growth of the child. Proper nutrition is essential to support liver function and overall development during the critical early months of life.