Hepatic artery thrombo sis remains the most common technical complicat
ion that causes graft failure following orthotopic liver transplantati
on. The Hepatic artery anastomosis should be performed using meticulou
s technique and adequate magnification. We report a very low incidence
of Hepatic artery, thrombosis (1.3%) utilising a modified microvascul
ar 120 degrees triangulating technique in 150 adult liver transplants.