developed primarily as a donor mechanism for parents with children with diseased livers. Dr. Christoph Broelsch performed the first successful LDLT at the University of Chicago Medical Center in 1989, with a 2-year-old girl receiving part of her mother's liver. By expanding the potential donor pool to close relatives, the odds of finding an immunologically matched organ are greatly increased. Although the success rate for patients undergoing LDLT matches or bests that of cadaveric transplants, the harvesting procedure is not without significant risk to the donor. Most of the common post-operative complications are readily addressed; however, the risk of donor death from pulmonary embolism or other causes is not insignificant and ranges from 1 in 300 to 1 in 1000 in various transplant centers. This creates a very serious ethical issue as the donor does not directly benefit from the procedure and yet is under significant psychological pressure because the potential recipient is his or her child.