Magnetic compression anastomosis involves the use of two magnets that are attracted transmurally between two internal organs resulting in compression and subsequent fistula formation (1). We report on the clinical use of magnetic compression anastomosis using extracorporeal magnetic guidance for the treatment of complete obstruction of the common bile duct (CBD) following living donor liver transplantation. This novel treatment has the advantages of low invasiveness and simplicity, and it should be considered as a feasible alternative therapy for biliary obstruction.