Objective To analyze the development of liver transplantation for children in the United States in recent ten years through the study of the public database of the United Network for Organ Sharing. Methods The data included the waiting list and the transplantation periods, the change of case number，age composition，gender， blood type，ethnicity，preoperative diagnosis and post-transplant survival rate were analyzed. Results In 2017， 725 new candidates were added to the pediatric liver transplant waiting list，less than in 2005（826 candidates）. The number of living donor pediatric liver transplants decreased from a peak of 79 in 2015 to 67 in 2017，most of the donors were closely related to the recipients. Conclusion Graft survival rate continued to improve over the past decades among recipients receiving deceased and living donor liver transplantations.