Aminotransferase 200+ is not normal. Transaminases are categorized into alanine aminotransferase and glutamine aminotransferase, in which the normal value of alanine aminotransferase is 0~40u/L and the normal value of glutamine aminotransferase is 0-40u/L. If the value of alanine aminotransferase is more than 40u/L or that of glutamine aminotransferase is more than 40u/L, it means that the aminotransferase is elevated. If the aminotransferase 200u/L is more than 5 times the normal value, it is necessary to consider that it is caused by pathologic factors. Transaminase 200u/L is most often the result of fatty liver, cirrhosis, hepatocellular carcinoma, malnutrition, viral hepatitis and other diseases that cause liver function damage. Liver function damage and elevated transaminases caused by diseases such as cholecystitis can be quickly restored to the normal range after drug treatment. Elevated transaminases caused by diseases such as hepatitis B, autoimmune hepatitis, and primary liver cancer, on the other hand, may require a combination of medications or even surgery. Patients with transaminase 200u/L can go to the hospital to check the cause, need to consult a doctor to clarify the cause of the disease, to be treated for the cause of the disease.