Objectives: Vascular complications (VC) after living donor liver transplantation (LDLT) are problems that result in graft and patient loss. The aim of this study was to assess the incidence, risk factors, treatment and outcome of VC of patients after LDLT.Methods: Between April 2003 and February 2013, we performed 200 LDLT. The overall male/female and adult/pediatric ratios were 168/32 and 167/33 respectively. We retrospectively analyzed VC in recipients. Results: The overall incidence of VC was 19.5% (n=39), while early(>1month) and late(<1month) VC were 9% (n=18) and 10.5% (n=21) respectively. Individually HA problems (HAT, HA stenosis and injury) 15% (n=30), PV problems (PVT and PV stenosis) 3.5% (n=7) and HV problems (HVT and HV stenosis) 1% (n=2). 37/39 of VC were managed by angiography(n=18), surgery(n=8) or medically (Anticoagulant and/or thrombolytic) (n=11) where successful treatment occurred in 17 patients. 10/39 (25.6%) of patients died as a direct result of VC. Preoperative PVT was significant predictor of VC in univariate analysis (P value < 0.05). The overall 1-, 3-, 5- and 7-year survival rates in our series were 65%, 61%, 55.5%, 55% and 54% respectively. The 1-, 3-, 5- and 7-year survival rates inpatients with and without VC were 41%, 38.5%, 38.5% and 38.5% and 65.8%, 59.6%, 59% and 57.8% respectively with statistical significance. Conclusion: Preoperative PVT was significant predictor of VC in our study with significant poor outcome with VC, while effective management of VC significantly improved the outcome.Figure: No Caption available.