diff --git a/litellm/proxy/management_helpers/object_permission_utils.py b/litellm/proxy/management_helpers/object_permission_utils.py
index 13080a6cf83..a2fbf80422c 100644
--- a/litellm/proxy/management_helpers/object_permission_utils.py
+++ b/litellm/proxy/management_helpers/object_permission_utils.py
@@ -286,7 +286,7 @@ async def _resolve_mcp_server_identifiers_to_ids(
     return resolved
 
 
-def _rewrite_object_permission_mcp_servers(
+def _drop_stale_object_permission_mcp_servers(
     object_permission: ObjectPermissionDict,
     identifier_to_server_ids: dict[str, set[str]],
 ) -> None:
@@ -294,16 +294,18 @@ def _rewrite_object_permission_mcp_servers(
     if not isinstance(mcp_servers, list):
         return
 
-    normalized_servers: Final[list[str]] = []
-    for identifier in mcp_servers:
-        if identifier == SpecialMCPServerNames.no_mcp_servers.value:
-            normalized_servers.append(SpecialMCPServerNames.no_mcp_servers.value)
-            continue
-        normalized_servers.extend(sorted(identifier_to_server_ids.get(identifier, [])))
-    object_permission["mcp_servers"] = _dedupe_preserving_order(normalized_servers)
+    # Persist original identifiers, never resolved ids: shared-DB multi-region
+    # instances each expand a name/alias to their own local server id at read
+    # time. Only entries resolving to nothing (deleted servers, typos) drop.
+    kept_servers: Final = [
+        identifier
+        for identifier in mcp_servers
+        if identifier == SpecialMCPServerNames.no_mcp_servers.value or identifier_to_server_ids.get(identifier)
+    ]
+    object_permission["mcp_servers"] = _dedupe_preserving_order(kept_servers)
 
 
-def _rewrite_object_permission_mcp_tool_permissions(
+def _drop_stale_object_permission_mcp_tool_permissions(
     object_permission: ObjectPermissionDict,
     identifier_to_server_ids: dict[str, set[str]],
 ) -> None:
@@ -311,31 +313,25 @@ def _rewrite_object_permission_mcp_tool_permissions(
     if not isinstance(mcp_tool_permissions, dict):
         return
 
-    normalized_tool_permissions: Final[dict[str, list[str]]] = {}
-    for identifier, tools in mcp_tool_permissions.items():
-        if not isinstance(tools, list):
-            tools = []
-        for server_id in sorted(identifier_to_server_ids.get(identifier, [])):
-            normalized_tool_permissions.setdefault(server_id, [])
-            normalized_tool_permissions[server_id].extend(tools)
-
     object_permission["mcp_tool_permissions"] = {
-        server_id: _dedupe_preserving_order(tools) for server_id, tools in normalized_tool_permissions.items()
+        identifier: _dedupe_preserving_order(tools if isinstance(tools, list) else [])
+        for identifier, tools in mcp_tool_permissions.items()
+        if identifier_to_server_ids.get(identifier)
     }
 
 
-def _rewrite_object_permission_mcp_identifiers(
+def _drop_stale_object_permission_mcp_identifiers(
     object_permission: ObjectPermissionDict | None,
     identifier_to_server_ids: dict[str, set[str]],
 ) -> None:
     if not object_permission or not isinstance(object_permission, dict):
         return
 
-    _rewrite_object_permission_mcp_servers(
+    _drop_stale_object_permission_mcp_servers(
         object_permission=object_permission,
         identifier_to_server_ids=identifier_to_server_ids,
     )
-    _rewrite_object_permission_mcp_tool_permissions(
+    _drop_stale_object_permission_mcp_tool_permissions(
         object_permission=object_permission,
         identifier_to_server_ids=identifier_to_server_ids,
     )
@@ -615,7 +611,7 @@ async def validate_key_mcp_servers_against_team(
                 "validate_key_mcp_servers_against_team: ignoring stale MCP server identifiers (no longer in registry or DB): %s",
                 sorted(stale_identifiers),
             )
-        _rewrite_object_permission_mcp_identifiers(
+        _drop_stale_object_permission_mcp_identifiers(
             object_permission=object_permission,
             identifier_to_server_ids=identifier_to_server_ids,
         )
diff --git a/tests/e2e/mcp/test_mcp_key_access_e2e.py b/tests/e2e/mcp/test_mcp_key_access_e2e.py
index 88ab5666084..68005ae3f6a 100644
--- a/tests/e2e/mcp/test_mcp_key_access_e2e.py
+++ b/tests/e2e/mcp/test_mcp_key_access_e2e.py
@@ -30,6 +30,34 @@ def _key(client: McpClient, resources: ResourceManager, *, mcp_servers: list[str
     return key
 
 
+class TestMcpKeyGrantByAlias:
+    def test_alias_grant_persists_verbatim_and_lists_tools(
+        self,
+        client: McpClient,
+        resources: ResourceManager,
+    ) -> None:
+        """A key granted an MCP server by its alias must store the alias, not the
+        resolved server_id: in a shared-DB multi-region deployment each instance
+        derives a different id for the same config server, so only the alias
+        grants access on every region. The same key must still see the server's
+        tools, proving the alias grant is honored at request time."""
+        server_id = register_datadog_mcp(client, resources)
+        client.await_registered(server_id)
+        alias = next(row.alias for row in client.registered_servers() if row.server_id == server_id)
+        assert alias, f"registered server {server_id} has no alias to grant by"
+
+        key = _key(client, resources, mcp_servers=[alias])
+
+        stored = client.proxy.key_info(key).object_permission
+        assert stored is not None and stored.mcp_servers == [alias], (
+            f"alias grant was rewritten before persisting (expected [{alias!r}]): "
+            f"{stored.mcp_servers if stored else None}. A stored server_id is region-local "
+            f"and breaks the grant on every other instance sharing this database"
+        )
+
+        _ = client.await_tool(key, server_id, SEARCH_LOGS_TOOL)
+
+
 class TestMcpKeyWithoutAccessIsDenied:
     @pytest.mark.covers("mcp.list_tools.api_key.denied_without_permission")
     def test_list_tools_denied_without_permission(
diff --git a/tests/e2e/models.py b/tests/e2e/models.py
index 6d9ccad9a24..967144dfb16 100644
--- a/tests/e2e/models.py
+++ b/tests/e2e/models.py
@@ -114,6 +114,7 @@ class KeyInfo(BaseModel):
     budget_id: str | None = None
     litellm_budget_table: LiteLLMBudgetTable | None = None
     budget_limits: list[BudgetWindowState] | None = None
+    object_permission: ObjectPermission | None = None
 
 
 class KeyInfoResponse(BaseModel):
diff --git a/tests/test_litellm/proxy/management_helpers/test_object_permission_utils.py b/tests/test_litellm/proxy/management_helpers/test_object_permission_utils.py
index 5ef83344c1a..f2b6b799271 100644
--- a/tests/test_litellm/proxy/management_helpers/test_object_permission_utils.py
+++ b/tests/test_litellm/proxy/management_helpers/test_object_permission_utils.py
@@ -1,11 +1,9 @@
 import json
+from unittest.mock import AsyncMock, MagicMock, patch
 
 import pytest
 from fastapi import HTTPException
 
-
-from unittest.mock import AsyncMock, MagicMock, patch
-
 from litellm.proxy._types import (
     LiteLLM_ObjectPermissionBase,
     LiteLLM_ObjectPermissionTable,
@@ -13,10 +11,10 @@ from litellm.proxy._types import (
     SpecialMCPServerName,
 )
 from litellm.proxy.management_helpers.object_permission_utils import (
+    _drop_stale_object_permission_mcp_servers,
     _extract_requested_mcp_access_groups,
     _extract_requested_mcp_server_ids,
     _resolve_team_allowed_mcp_servers,
-    _rewrite_object_permission_mcp_servers,
     _set_object_permission,
     enforce_all_proxy_mcp_servers_grant_is_admin_only,
     validate_key_mcp_servers_against_team,
@@ -153,10 +151,10 @@ def test_extract_requested_mcp_server_ids_excludes_no_mcp_servers_sentinel():
     assert _extract_requested_mcp_server_ids(obj_perm) == {"server-1"}
 
 
-def test_rewrite_object_permission_mcp_servers_preserves_sentinel():
-    obj_perm = {"mcp_servers": ["no-mcp-servers", "alias-1"]}
-    _rewrite_object_permission_mcp_servers(obj_perm, {"alias-1": {"server-1"}})
-    assert obj_perm["mcp_servers"] == ["no-mcp-servers", "server-1"]
+def test_drop_stale_object_permission_mcp_servers_preserves_sentinel_and_alias():
+    obj_perm = {"mcp_servers": ["no-mcp-servers", "alias-1", "gone-id"]}
+    _drop_stale_object_permission_mcp_servers(obj_perm, {"alias-1": {"server-1"}, "gone-id": set()})
+    assert obj_perm["mcp_servers"] == ["no-mcp-servers", "alias-1"]
 
 
 @pytest.mark.asyncio
@@ -692,9 +690,10 @@ async def test_validate_mcp_server_alias_outside_team_scope_raises(
     new_callable=AsyncMock,
     return_value=[],
 )
-async def test_validate_mcp_server_alias_is_normalized_before_save(
-    mock_access_groups, mock_allow_all
-):
+async def test_validate_mcp_server_alias_persists_verbatim(mock_access_groups, mock_allow_all):
+    """Regression for the multi-region shared-DB setup: an alias grant must be
+    stored as the alias, so every instance can expand it to its own local id.
+    Rewriting to this instance's server_id breaks access on the other region."""
     team_obj = _make_team_obj(mcp_servers=["allowed-server-id"])
     object_permission = {
         "mcp_servers": ["allowed-alias"],
@@ -706,8 +705,27 @@ async def test_validate_mcp_server_alias_is_normalized_before_save(
         team_obj=team_obj,
     )
 
-    assert object_permission["mcp_servers"] == ["allowed-server-id"]
-    assert object_permission["mcp_tool_permissions"] == {"allowed-server-id": ["tool1"]}
+    assert object_permission["mcp_servers"] == ["allowed-alias"]
+    assert object_permission["mcp_tool_permissions"] == {"Allowed Server": ["tool1"]}
+
+
+def test_alias_grant_expands_on_other_region_after_save():
+    """Cross-region flow: the west instance saves an alias grant (its resolver maps
+    the alias to west's hash-derived id), then the central instance, whose registry
+    maps the same alias to a different id, expands the persisted grant. Rewriting
+    to west's id at save time is exactly the regression this guards against."""
+    west_mgr = _make_mock_mcp_manager(servers=[_make_mock_mcp_server("west-id", alias="github-mcp")])
+    central_mgr = _make_mock_mcp_manager(servers=[_make_mock_mcp_server("central-id", alias="github-mcp")])
+
+    object_permission = {"mcp_servers": ["github-mcp"]}
+    _drop_stale_object_permission_mcp_servers(object_permission, {"github-mcp": {"west-id"}})
+    assert object_permission["mcp_servers"] == ["github-mcp"]
+
+    from litellm.proxy._experimental.mcp_server.mcp_server_manager import MCPServerManager
+
+    expand = MCPServerManager.expand_permission_list
+    assert expand(west_mgr, object_permission["mcp_servers"]) == ["west-id"]
+    assert expand(central_mgr, object_permission["mcp_servers"]) == ["central-id"]
 
 
 @pytest.mark.asyncio