Background: Biliary stricture is one of the most common biliary complications after liver transplantation and requires early diagnosis and prompt adequate treatment. So far, treatment modalities for this complication had been transpapillary approach using endoscopic retrograde cholangiography (ERCP), percutaneous transhepatic approach, and surgery. Aims: We attempted to assess the role of ERCP in diagnosis and management of biliary strictures following living donor liver transplantation in adults and to evaluate the safety and efficacy of transpapillary endoscopic intervention.