Persistent shortage of donors and increase in the number of patients on waiting had forced the transplantation units to go for other options like LDLT and split liver transplantation. Split liver transplantation started initially for one adult and one child. But in recent days transplant units have extended its use to 2 adults. However there are controversies in the practice of split for 2 adults related to the increased morbidity, poor results and small for size syndrome in recipients of left lobe grafts. Split-liver transplantation is a surgical technique that creates 2 allografts from 1 cadaver/donor organ. SLT is simultaneously reported by Pichlmayr and Bismuth in 1989. This procedure is implemented to meet the organ shortage and to increase the donor pool. Liver is divided into 2 functioning allografts right and left lobe/extended right lobe and lateral segment, so that 2 recipients can be transplanted from a single donor. It is a time consuming process and prolonged cold ischemia and chances of rewarming are possible leading to more complications like PNF, vascular and biliary complications than whole liver transplant. Selection of high quality donor organs and good recipients is required for split liver transplant.