Liver replacement surgery, also known as liver transplantation, is currently performed in a variety of ways, including in situ liver transplantation, backpacking liver transplantation, split liver transplantation, and living liver transplantation. Regardless of the type of liver transplantation, the recipient’s liver is removed and then implanted into the donor’s liver. In situ liver transplantation involves removal of the recipient’s inferior vena cava along with the liver and anastomosis of the donor liver in situ. Back-packed liver transplantation only retains the recipient’s inferior vena cava, and the recipient’s hepatic veins are combined and shaped to anastomose with the upper and lower vena cava of the donor liver. Split liver transplantation involves splitting a cadaveric donor liver into two halves and giving them to separate recipients. This is a high-risk procedure, provided that as little damage as possible is done to the donor.