<prompt> According to Pughs classification moderate to severe hepatic insufficiency is managed by:SclerotherapyConservativeOrthotopic liver transplantationShunt surgery  <response>: Ans. c Orthotopic liver transplantation Child A and B can be managed with Conservative methodsShunt surgeries etc. Child C is an indication for Liver Transplant Other Major surgeries can be done only for Child A Minor surgeries only can be done in Child B No other surgery other than Transplant is advised in Child C 