Living donor liver transplantation (LDLT) had been started for pediatric patients since 1989, and indication of LDLT has been expanded to adult patients in concomitance with overcoming small-for-size graft. Recently, around 500 cases of LDLT have been performed annually, and outcome of pediatric patients after LDLT has been improved with more than 90% of patient survival rate. Deceased donor liver transplantation (DDLT) also had been started since 1999, however, annual number of DDLT remained less than 10 cases. Therefore, condition of liver transplantation in Japan is quite unique, which consist of more than 98% of LDLT and less than 2% of DDLT. Law of organ transplantation had been modified in July 2010, which had been changed to world standard one.