Fatty liver and transaminases have a certain relationship, transaminases can reflect the state of fatty liver good or bad, if the transaminases are significantly elevated indicates abnormal liver function, in this case there is hepatocellular inflammation, often caused by fatty liver. Elevated transaminases in patients with fatty liver need to be actively treated, because fatty liver is mainly due to hepatocellular steatosis resulting in hepatocellular inflammation and necrosis, which ultimately leads to elevated transaminases. Aminotransferases include alanine aminotransferase and glutamine aminotransferase, which are two of the most important indicators of liver function. If patients with fatty liver have elevated aminotransferases, they should be treated actively, and aminotransferases can be improved by choosing liver-protecting and enzyme-lowering drugs, and the improvement of aminotransferases can also evaluate the liver function, and the return of aminotransferases to normal is often indicative of hepatocellular repair.