Living-donor liver transplantation is another treatment option to cadaveric liver transplantation in adult patients. We report the outcomes of 49 right lobe adult living-donor liver transplantations (ALDLT) performed at our institution between April 2003 and June 2006. The mean age of the recipients was 41.7±12.5 years (range,18 to 61 years). The median graft-to-recipient weight ratio was 1.2%±.0.4% (range,0.8% to 2.1%). In recipients, the mean operative time was 10.6±2.7 hours. The number of blood transfusions administered was 4.1±5.1 units. The mean time spent in the intensive care unit was 2.3±1.5 days. In the recipients, 5 vascular and 5 biliary complications occurred during the early postoperative period, and 4 vascular and 2 biliary complications developed in the late postoperative period. Thirteen of the 49 recipients died within 4 months of surgery. The age of the donors ranged from 23 to 50 years (mean, 36.6±9 years). In the donors, the mean operative time was 6.4±1.6 hours, the residual liver volume was 43.3%±6.1%, and the mean hospital stay was 9.5±4.5 days (range, 5-23 days). Two donors required an intraoperative blood transfusion. None of our donors died, but 6 complications occurred in 4 patients. The mean postoperative follow-up was 13.4±9.6 months (range,1-38 months). In conclusion then, in Turkey,as in other countries,organ demand exceeds organ availability. Graft size presents a problem for adult patients, but right lobe LDLT may be a life-saving option for these patients when right lobectomy is performed safely in experienced hands.