With increasing numbers of patients undergoing liver transplantation f
or end-stage liver disease and continued improvements in survival rate
s, attention to the respiratory status of these patients has achieved
even greater importance. This article discusses the preoperative pulmo
nary assessment for conditions that may prohibit liver transplantation
or affect outcomes, in addition to discussing the possible intraopera
tive and early infectious versus noninfectious postoperative complicat
ions. Also included is a discussion of the most common pulmonary compl
ications that may be encountered late after liver transplantation.