The use of extended criterion for donation of liver has become a necessity in an era of organ scarcity for transplantation. We present a case report of orthotropic liver transplantation, using a liver with a giant right lobe hemangioma without back-table resection, for transplantation. There was no data regarding the liver mass before organ procurement. The donor’s liver function tests and electrolyte’s profile were normal. During exploration of donor, a hemangioma was identified, in segments V-VI, occupying approximately 20% of total liver volume. It was prepared for transplantation on a sterile back-table without performing back-table hemangioma resection. A standard orthotropic liver transplant procedure was performed uneventfully, without veno-veno bypass. There was no bleeding from hemangioma. Ischemic time was 9 hr and 20 min. Post op course was uneventful and the patient was discharged, 19 days after the operation. The hemangiomas showed evolution with some decrease in size in later follow ups. No clinically important complication was observed. Our case and other previous reports show that even large hemangiomas should not be considered as a contraindication to organ procurement. These benign lesions either could be left in situ and observed, or resected.