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                         February 6, 2024

       Jonathan Kaufman
       Chief Executive Officer
       Lipella Pharmaceuticals, Inc.
       7800 Susquehanna St.
       Suite 505
       Pittsburgh, PA 15208

                                                        Re: Lipella 
Pharmaceuticals, Inc.
                                                            Registration 
Statement on Form S-3
                                                            Filed February 1, 
2024
                                                            File No. 333-276815

       Dear Jonathan Kaufman:

              This is to advise you that we have not reviewed and will not 
review your registration
       statement.

               Please refer to Rules 460 and 461 regarding requests for 
acceleration. We remind you
       that the company and its management are responsible for the accuracy and 
adequacy of their
       disclosures, notwithstanding any review, comments, action or absence of 
action by the staff.

                                                        Please contact Tamika 
Sheppard at 202-551-8346 with any questions.



                                                                                
                         Sincerely,

                                                                                
                         Division of Corporation Finance
                                                                                
                         Office of Life Sciences
       cc:                                              Michael DeDonato