Liver transplantation (LT) remains the most effective curative-intent surgical approach for selected patients with primary hepatic malignancies, owing to its ability to completely replace the diseased liver and address both the tumour and the underlying liver disease. Rather than being determined solely by technical feasibility, transplant candidacy is defined by a dynamic “window of eligibility” based on predicted overall survival and transplant benefit, with repeated assessment of tumour burden, biology, and response to therapy.