First successful LDLT was reported in 1990. Most cases of LDLT are reported from Asia. But the recent reports from UNOS and ELTR show that increased rate of LDLT in Europe and USA. Living liver donation has a surgical risk with donor mortality and morbidity rates 0.1–1.0% and 15–25%, respectively. A living donor is a normal individual who is mentally, physically and psychologically healthy. Subjecting a healthy individual to high risk surgery was a matter of debate in the initial stage of LDLT. But keeping the benefit of recipient and balanced selection of donor to avoid complications has evoked a revolution in the modern era of LDLT all over the world.