*Purpose: Living donor liver transplantation (LDLT) is an emerging alternative for deceased donor liver transplantation (DDLT). In the United States (US), LDLT represented 5.3% (442/8345) of all adult liver transplants. The authors conducted a survey of all LDLT programs in the United States to explore perioperative patient management methods.

*Methods: An electronic survey was distributed to the Directors of Liver Transplant Anesthesiology at all LDLT programs in the US (n=37; identified via 2018 Scientific Registry of Transplant Recipients database) between May and October 2021. The Quality & Standards Committee of the Society for the Advancement of Transplant Anesthesia (SATA) created the survey and collected responses in the US.

*Results: The survey response rate was 100%. There were many similarities across programs.

Recipient: There is normally no alteration from typical DDLT management. Most centers in the US selectively place a pulmonary artery catheter (PAC) while routinely use transesophageal echocardiography (TEE). LDLT recipients are routinely extubated in the operation room.

Donor: Anesthesiologists participate in donor selection and pre-operative evaluation; they utilize enhanced recovery after surgery (ERAS) protocols and regional anesthesia techniques. Most centers do not routinely utilize pre-operative autologous blood donation or intraoperative acute normovolemic hemodilution.

*Conclusions: With the expansion of LDLT as an alternative to DDLT, we must continue to understand variations in practice patterns to ultimately develop best practice guidelines. Reviewing these survey results is the first step into understanding perioperative management for this unique patient group.

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