Univariate analysis indicated that pretransplant AFP (≥ 300 ug/l vs. < 300 ug/l)(HR 3.830, 95% CI 2.447-5.997, P <0.001), biggest HCC diameter (≥ 5cm vs. < 5cm) (HR 1.753, 95% CI 1.119-2.746, P =0.014), poor tumor differentiation (HR 2.738, 95% CI 1.226-6.112, P = 0.014), microvascular invasion (HR 3.453, 95% CI 2.213-5.388, P <0.001) and surgical procedure (CLT vs IFLT) (HR 4.371, 95% CI 1.371-13.864, P =0.012) were associated with RFS. Here, AFP is linked to neoplasm.