 Laparoscopic living donor hepatectomy, LLDH, is a relatively new surgical technique which has gained popularity in recent years due to its potential benefits such as reduced postoperative pain, shorter hospital stay and faster recovery time. Despite these advantages, LLDH is still only performed by experienced surgeons at a limited number of institutions. Technological advancements have made LLDH more accessible and safe, but caution must be taken when performing this procedure to ensure patient safety. This article was authored by Shigeru Marabashi and Hiroaki Nagano.