Received December 5, 2012; accepted January 22, 2013.Living liver donation is arguably the most invasiveoperation that we as surgeons perform in willingpatients with no demonstrable medical benefit. We dothis to allow a person to donate a portion of his or herliver to save the life of someone with end-stage liverdisease to whom the donor is somehow connected.Every time we perform living donor liver hepatectomy,we as surgeons violate the Hippocratic Oath becausewe cannot obey the tenet of “do no harm” in a settingin which complication rates are 40%