Surgery for liver rupture depends first on what caused the rupture, and if the rupture is due to trauma, it also depends on the site of the patient’s rupture. If the liver pericardium is intact in the central part, we can consider to continue to be observed and pay attention to close monitoring of blood pressure and resting flat after wrapping the lap band, which requires observation for about 1-2 weeks. If the patient has a healed lesion, intact liver pericardium, no peritoneal fluid, stable blood pressure and stable heart rate, we can consider to discharge from the hospital after three weeks of observation. However, if the patient has a ruptured liver, incomplete peritoneum, and fluid in the peritoneal cavity, and non-coagulated blood and bile are extracted from the right lower abdomen by puncture, emergency surgery is needed, and repair of the ruptured liver is performed with large omental compression after repair to prevent further bleeding and biliary fistula, or partial resection of the liver lobe or segment can be considered. In addition, for ruptures caused by neoplastic disease, interventional embolization can be done to stop the hemorrhage if surgical procedures are difficult to perform.