Background: Living donor liver transplantation has emerged as a surgical technicalachievement designed to increase the organ supply. Adult recipients have a widerange of disease severity and higher incidence of medical comorbidities, in addition,the use of a partial graft in an adult recipient predisposes the recipient to a unique setof potential technical and anatomic complications that are not prevalent in wholedeceased donor grafts. [1]Objectives: Careful analysis of variables that affect early graft outcome in LDLT isnecessary to determine methods that may be manipulated to improve outcome.Methods: A retrospective study involving 142 patients that underwent LDLT in twocenters, International Medical Center “IMC” 113 cases and Kasr Elini hospital 29cases, in the period from October 2004 to December 2010, were recruited in the study.Post-operative daily assessment was done, by recoding and following up all theclinical laboratory and radiological data, for a period of 30 days.Results: The survival rate at the end of our study was 86.62%. The most frequentcomplications were renal complications (86.6%), pulmonary complications (73.9%),neurological complications (14 %), cardiovascular complications (12.6 %), infection(13.3%), intra-abdominal infections (10.5%) and immunosuppressant toxicity (7.7%).Conclusion: LDLT is a major procedure that requires gathered efforts from membersof the transplantation team considering all the events of the preoperative andintraoperative period as well as the scoring system, MELD score, to planpostoperative management and to identify potential complications early. This mayhelp in proper management of the recipient.