Normothermic regional perfusion (NRP) is reshaping controlled donation after circulatory death (cDCD) liver transplantation. By restoring oxygenated blood flow after death declaration, NRP reduces ischemia-reperfusion injury, lowers rates of early allograft dysfunction and biliary complications, and delivers graft and patient survival comparable to donation after brain death. This review synthesizes expanding global evidence supporting NRP as a new standard.