Aziz Aadam, MD, interventional endoscopist, Daniel Borja-Cacho, MD, transplantation surgeon, and Ahsun Riaz, MD, vascular and interventional radiologist, discuss a complex biliary case involving a patient with advanced stage cancer. They explore the innovative, multidisciplinary approach taken to manage the patient's biliary fistula and hepatic duct obstruction. The physicians highlight the collaborative efforts and advanced techniques that led to a successful outcome and improved quality of life for the patient.