Introduction: The aim of the study is to evaluate and analyze the result of the liver donation and transplantation.

Materials and Methods: A retrospective study was done during the year 2004 to 2010 from the 616 living donors (LD) and deceased donors (DD). Data includes donor\’s characteristics and acceptance rate for DD offered livers, recipient’s status post transplant follow up period and patient survival.

Results: A total of 612 cases from DD were consented for liver donation and 402 (65.7%) cases were retrieved with 331 (82.34%) from them were able to transplant with donor mean age of 33.2 years. As to LR donors, mostly were son, mother and father related with a mean age of 26.6 years with male/female ratio of 3/1 for a total of 285 transplants. The mean follow up period was 745 days and the mean stay in hospital post transplant was 28.2 days with 11 cases having a primary non-functioning graft. At the end of the follow up period, there were 532 (88%) active patients and 58 (10%) died. 491 (80%) of the active patients are doing well at home and only 41 (7%) at the hospital. The patient survival at three and five years was 87.2% and 77.1% respectively.

Conclusions: The outcome of the liver transplantation in the kingdom is comparable to international levels, though the need to increase the acceptance rate and the use of procured liver requires more effort in the management of deceased donors. Both LR and DD transplant should be enhanced to meet the ever-increasing demand of organ transplantation.