Abstract: Biliary atresia (BA) is a kind of obstructive biliary disease, with progressive inflammation and fibrosis characteristics . Kasai portoenterostomy is the only method of treatment of biliary atresia, but 80% of the patients treated by kasai operation still need liver transplantation in the future. There are many factors, such as the types of BA，laparoscopic kasai surgery or traditional open surgery， patient’s age at surgery, condition of liver function, occurrence of cholangitis, jaundice clearance, using of steroids and central hospitalization to influent the native liver survival and to be reviewed as following below.

Key words: Biliary atresia (BA), liver transplantation, prognosis, review, kasai operation, native liver survival