Organ transplantation offers increased survival and improved quality of life to many patients with end-stage liver disease. Major advances in this field have included better organ acquisition and preservation as well as improved intraoperative techniques and management. An additional major factor in improved survival of transplant recipients is the elevated level of care available in intensive care units. Diligent postoperative care has led to early recognition and appropriate treatment of complications that previously were fatal. The intensive care unit team, in tandem with the transplant surgical service, significantly contributes to the successful outcome of the liver transplant recipient.