Liver stiffness 20 indicates that the measurement of liver stiffness is 20 kPa, which means that the patient has a cirrhotic liver problem and may be in the middle stage of cirrhosis. Cirrhosis is a common chronic progressive liver disease, which is a diffuse liver damage problem formed by the long-term or repeated action of one or more etiologic factors, such as viral hepatitis, alcoholic liver disease, etc. The liver hardness value of cirrhosis caused by different etiologic factors will be different, and the normal reference range is about between 2.8-7.4 kPa. If the liver hardness value is above 7.4 kPa, then it indicates that liver fibrosis may exist, and if the liver hardness value reaches 14.6 kPa or above, then it can be basically diagnosed as liver cirrhosis. If the liver hardness value reaches 14.6kPa or above, then it can be basically diagnosed as cirrhosis. Liver hardness of 20 indicates that the patient’s liver hardness value has exceeded the normal range, which may be in the middle stage of cirrhosis, and if it is not treated in time, then it may cause aggravation of the condition over time, and even lead to cancerous changes. Once you find that the liver hardness reaches 20kPa, you should go to the hospital as soon as possible for examination to find out the cause of the disease, and then carry out targeted treatment under the guidance of the doctor.