 A living donor liver transplantation is a surgery where a deceased or malfunctioning liver is removed and replaced with a portion of a healthy liver from a living donor. Every year, around 500-1000 patients need liver transplants but only about 50 are donated from brain-dead donors. Pre-procedure, both the donor and recipient undergo a detailed, multi-step, health and psychological evaluation by the Manipal Comprehensive Liver Care Team. The transplant proceeds only when the team is satisfied that the procedure is entirely safe for the donor and provides maximum benefit for the recipient. A formal consent will be taken upon completion of the medical evaluation. There is also a legal process to be completed after the medical evaluation. The recipient is admitted two days before the transplant and the donor is admitted one day prior. On the day of the surgery, the donor is taken up for surgery first in most situations. Upon anesthesia administration, the donor surgical team removes a portion of the donor liver for transplant through an incision in the abdomen. The specific part of the liver donated depends on the needs of the recipient. Detailed planning before the operation would have ensured the specific portion of donor liver which has to be removed leaving behind adequate liver remnant for the donor. This process takes about 6-8 hours. Three hours into the donor operation, the recipient is taken up for surgery. After the anesthetic team administers anesthesia, the recipient's surgical team makes an incision on the recipient abdomen and proceeds to disconnect the blood vessels and bile duct of the deceased liver. The removal of the deceased liver is coordinated with the removal of the donated portion of the liver from the donor. The donor liver graft is placed in the recipient's body and the process of connecting the blood vessels and bile ducts to the new liver begins. At the completion of this part of the operation, blood is circulated to the liver and its adequacy confirmed by Doppler ultrasound. This part of the operation takes about 10-12 hours. The transplanted liver in the recipient and the portion left behind in the donor regrow rapidly reaching normal liver volume and function within 2-4 weeks in the donor and 4-6 weeks in the recipient. The entire living donor liver transplantation surgery needs to separate operation rooms, 3 anestheologists, 6 surgeons, 8 nurses, 2 technicians and numerous other staff to complete.