Living donor liver transplantation (LDLT) using right lobe graft was advocated to treat adult patients who could not receive a timely cadaveric graft. The major limitation of adult-to-adult LDLT using right lobe graft is the safety of the donors. Adult-to-adult LDLT using dual left grafts was performed for one patient with end-stage liver disease in our division. Both donors and recipient underwent a full recovery from the operation without persistent complications. Two left dual grafts from two living donors can help alleviate the pressure of organ shortage, prevent the small-for-size problem and yet secure the safety of the donors.