It is possible for hepatitis B virus carriers to remain disease-free for the rest of their lives, although specific cases need to be analyzed. Most of the hepatitis B virus carriers carry the virus for life, but do not cause abnormal symptoms; however, it cannot be ruled out that a small number of hepatitis B virus carriers will have liver abnormalities, so it is necessary for the patients to undergo semi-annual checkups. The checkups need to include routine blood tests, liver function tests, and hepatitis B 2.5 tests, in addition to hepatitis B DNA tests, liver elasticity tests, liver ultrasound tests, and alpha-fetoprotein tests, in order to rule out the possibility of hepatitis, liver fibrosis, and even cirrhosis and liver cancer. If hepatitis B carriers are diagnosed with liver abnormalities, they should be treated with first-line antiviral medications, such as entecavir and tenofovir, under the supervision of a specialist. In addition, the use of these drugs carries certain risks, and it is recommended that patients need to obtain the guidance of a specialist; Hepatitis B carriers should undergo regular review and active treatment to prevent the progression of the disease.