At the end of April 2008, after gastroscopy, gastric cancer with metastasis to the liver was detected, with adenocarcinoma of the stomach with moderate differentiation. Multiple metastases in the liver, filling defects in part of the main trunk and left branch of the portal vein, and possible cancer embolism were considered. He had a history of hypertension and diabetes mellitus, and had a cerebral hemorrhage in October ’07. After one chemotherapy and one interventional examination, the metastases in the liver were found to be reduced, but there was thickening in the stomach. I would like to know if there is a need for my dad to have palliative surgery and if there is a good treatment plan. The palliative treatment of liver metastases from gastric cancer depends on the condition of both liver and stomach lesions and the patient’s physical condition. If the stomach is asymptomatic but the liver lesion is serious, the liver lesion should be controlled first; if there are symptoms such as obstruction and bleeding in the stomach, the symptoms caused by the stomach lesion should be relieved after the liver lesion is controlled. The way of treatment should depend on the patient’s physical condition.