Our aim in this study is whether MELD scores may have any impact on pre operative strategic planning of the donor operation. We have analyzed retrospectively the outcomes of 63 adult liver transplantation patients whose operations were performed at our center between January 2001 and July 2006. All patients have MELD scores between 8 and 35 with an average value of 20.We compared post operative mortality among patients who have MELD scores above 20 based on their graft to host ratios. We grouped patients whose graft to body weight ratios (GBWR) were equal to or lower than 1 and whose GBWR were higher than 1 separately. GBWR was statistically significantly associated with mortality after living donor liver transplantation (p=0,05). MELD scores were also found to be associated with mortality (p=0,006). Mortality rates in patients with high MELD scores and with low GBWR found to be the highest among the other combinations.In conclusion,GBWR lower than 1 and MELD scores higher than 20 are significant risk factors for mortality after living donor liver transplantation.Patients with low MELD scores may be transplanted when GBWR is lower than 1 but patients with high MELD scores should receive grafts with GBWR higher than 1