Fatty liver pain does not indicate progression to cirrhosis, some fatty liver can have pain symptoms, cirrhosis needs to be diagnosed by combining symptoms and liver function tests. Fatty liver is caused by excessive accumulation of liver fat due to various reasons, usually starts insidiously and progresses slowly, most of them have no obvious symptoms. In some cases, pain may occur due to irritation of the hepatic envelope by the enlarged liver. Fatty liver progresses slowly and can take a long time to progress to cirrhosis. Cirrhosis requires a variety of tests, such as physical examination, liver function tests, abdominal CT, gastroscopy, liver tissue biopsy, etc., and can only be diagnosed by a medical professional in combination with symptoms. If the pain symptoms are severe or persistent, it is recommended to consult a doctor to find out the cause.