Objective To introduce the experience of Australia National Liver Transplant Unit (ANLTU) about adult orthotopic liver transplantation with arterial conduit usage for hepatic artery revascularization. Methods The 31 cases of adult orthotopic liver transplantation with arterial conduit usage for hepatic artery revascularization from 1986 to 2003 in the ANLTU were identified from records. The indication of arterial conduit use was as following: small caliber of hepatic artery (HA), HAT, hepatic hila adhesion, dissection of HA, mycotic aneurysm-ligated and ligated HA for haemobilia of the first graft. Eighteen of 31 cases were primary transplant and the others were retransplant. Results Fifteen patients ( 48.4 %) were alive at the time of data analysis. The mean survival time for the survivors was 4.1 years compared to a mean survival time of 34.56 days for 16 patients ( 51.6 %) who deceased. The mortality was 76.9 % in retransplant cases versus 33.3 % in primary transplant (P