Spleen enlargement in liver fibrosis is usually difficult to recover, but some patients can recover with active treatment. It depends on the severity of the condition and the effect of treatment. Liver fibrosis is a pathological process that is caused by liver damage. When liver fibrosis is severe, it will cause an increase in the pressure of the portal vein of the liver, which will cause difficulties in the return of blood to the spleen, resulting in splenomegaly. The gradual development of liver fibrosis will cause cirrhosis. It is very difficult to reverse liver damage, so in order to make the enlarged spleen smaller, liver fibrosis should be treated first. If liver fibrosis is detected early and the treatment is effective, it is possible for mild patients to undergo reversal and the enlarged spleen will recover naturally. If liver fibrosis is severe and even cirrhosis occurs, the enlarged spleen is very difficult to recover and splenectomy may be considered. If the above symptoms occur, it is recommended to go to the hospital in time for early and regular treatment.