Introduction: In pediatric liver transplantation (LT), Roux-en-Y hepaticojejunostomy is often preferred for biliary reconstruction especially in living donor liver transplantation (LDLT). Duct-to-duct (DD) biliary reconstruction in pediatric recipients is presented in very limited numbers in some studies. We retrospectively reviewed our experiences with DD biliary reconstruction without a stent in pediatric LDLT recipients. Methods: Since September 2006, 28 LDLTs were performed using DD biliary reconstruction without a stent for 27 recipients (13 boys and 14 girls; mean age 8.3 ± 5.5.1 years) at our center. All grafts were obtained from living-related donors. Seventeen left lobe grafts, 10 left lateral segment, and 1 reduced-size right lobe graft were transplanted. Twenty-five grafts had single bile duct, and the remaining 3 grafts had 2 bile ducts. We created a single orifice at the back-table in the grafts which had 2 bile ducts. Results: Two recipients developed bile leakage in the early postoperative period, and 4 bile duct stenoses occurred in the late postoperative period. All biliary complications were successfully treated with interventional radiological approaches. There was no morbidity and no graft loss owing to biliary complications. Three children died during follow-up at 21.6±10.6 months (range, 10 to 39 months); 24 (89%) are doing well, with optimal liver function. Conclusion: Our results show that duct-toduct biliary reconstruction without a stent is a safe and easy technique for biliary reconstruction even in pediatric cases.