Nearly twenty-five years ago San Diego became a staffed chapter of the American Liver Foundation. During that time, local volunteers made a measurable difference in the fight against liver disease by providing financial support for medical research; educating patients, families, caregivers and healthcare professionals; advocating for patients and their families; and creating public awareness campaigns about liver wellness and disease prevention. In 2020, as a result of COVID-19, the American Liver Foundation closed all their field offices and eliminated those staff positions. Although ALF would remain a national voice on liver disease, this left a gap in community-based services for San Diego. Volunteer leaders realizing this gap organized to form the Liver Coalition of San Diego to make sure that these services would continue and be provided locally. All funds raised stay in San Diego to support community-based education, linkages to care, advocacy and research programs.