Biliary atresia is an important reason for neonatal jaundice,and it is also the primary cause of liver transplantation in children.Porto- jejunal anastomosis( Kasai procedure) is an effective method for treating biliary atresia. In this article,the complications after Kasai procedure and long- term outcome were introduced. It is emphasized that the Kasai procedure is the first choice for biliary atresia patients.In addition,this article analyzes the possible influencing factors for surgical outcome,describes the possible problems regarding the long-term survival of autologous liver after the operation for biliary atresia,and proposes the need for more attention to the comprehensive treatment after Kasai procedure and before liver transplantation.