1. Introduction.- 2. History of pancreas transplantation.-a. General/Japan/Korea/Taiwan.- 3. Indication of pancreas transplantation(Donor and Recipient).- a. General/Japan/Korea/Taiwan.- 4. Pre operative evaluation.- a. General/Japan/Korea/Taiwan.- 5. Surgical aspect of pancreas transplantation.- a. General/Japan/Korea/Taiwan.- 6. Post operative management(general care, immunosuppressant, graft monitoring etc).- a. General/Japan/Korea/Taiwan.- 7. Outcomes.- a. General/Japan/Korea/Taiwan.- 8. Complication.- a. General/Japan/Korea/Taiwan.- 9. Conclusion