DDLT is well established programme in the west. The supply of liver allografts from deceased donors is far short of the number of potential recipients, a reality that has spurred the development of living donor liver transplantation. LDLT has become a viable alternative, particularly in countries where brain death law is missing or insufficient or less numbers of brain dead patients are available. The common way of meeting the need for LDLT in adults is to use the right liver, left liver or left lateral segment from a living donor as the graft. LDLT has not been performed as frequently in the west as anticipated and as compared to Asia. Donor mortality is a concern in LDLT. The expansion of LDLT was hampered by the issues of morbidity and mortality in living donors undergoing right lobectomy. Living related transplantation is mostly popular in Asian countries like Japan, Hong Kong, China, Taiwan and Korea with better graft and patient survival results than other countries. In eastern counties, religious beliefs and peoples reluctant attitude towards deceased organ donation has led to a revolution in living related liver transplantation unlike the USA and Europe where DDLT is well organized. Different techniques of DDLT and LDLT have been discussed in details in this chapter.