Liver transplantation has become a routine treatment for end-stage liver disease. The shortage of donors has prompted the application of living liver transplantation. After more than 20 years of development, as one of the vital ways to expand the donor pool, the living donor liver transplantation technique has become more mature in China. Compared with classical liver transplantation, living donor liver transplantation is more complex, the surgical team should be more meticulous during preoperative evaluation and recipients’ operation to ensure the safety of the perioperative period. In addition, a better postoperative management system is also needed to improve the health-related quality of life of the donor and recipient. The authors intend to discuss the evaluation of donors and recipients, surgical technology development, and improvement of the health-related quality of life in donors and recipients after surgery.