Liver transplant recipients are at risk for the same postoperative complications as any patient undergoing a major intra-abdominal operation. These complications can be technical, medical or immunological in nature. The aim of this study was to determine the types and frequencies of early postoperative complications that occurred among our pediatric liver transplant recipients. The medical records of 35 pediatric liver transplant recipients who were operated at the Transplant Center between April 1998 and April 2005, were retrospectively studied to gather demographic data, primary diagnosis, duration of hospital stay, source of graft, mortality, and complications including surgical (vascular, biliary, fluid collection) and medical (infection, respiratory, neurological, cardiovascular, and gastrointestinal). Among 23 male and 12 female pediatric liver transplant recipients (mean age: 11.8±4.9 years) with a mean hospital stay duration of 23.3±20.3 days, the most frequent postoperative complication was biliary (n=13; 37.2%) followed by respiratory (n=11; 31.4% ), vascular (n=10; 28.6%), infection (n=10; 28.6%), and acute cellular rejection (n=6; 17.1%). As seen in adult liver transplantation, biliary complications remain the most common problem following liver transplantation in pediatric age group; however with timely recognition and active intervention a good outcome can be achieved.