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Abstract LDLT is a solution for various end stage liver diseases & for the shortage of cadaveric livers. Proper preoperative evaluation of both donors & recepients is essential for optimum selection & to minimize postoperative morbidity & mortality. Biliary complications are the commenest post LDLT complications, it includes: leakage,biloma stricture & calculi. Biliary complications are more common in LDLT than in cadaveric liver & in RT lobe than in LT lobe due to increased numberof bile ducts to be anastomosed Mortality rate of donors is 0% Postoperative biliary complications in LDLT is managed by - Conservative treatment - PTD - ERCP - Ultrasound guided aspiration for biloma - Surgery |