The hepatic round ligament is a remnant of the umbilical vein after atresia and is formed during fetal development due to the confluence of placental capillaries. Its role is to supply blood and oxygen from the mother to the fetus, and it slowly becomes atretic after full development. However, the umbilical vein is of great clinical importance in the later stages of cirrhosis, as a grafting vessel if the patient develops cirrhosis, or if there is a need for other vascular substitutions, and as a bypass vessel. The ligaments of the liver are the hepatic round ligament, the left deltoid ligament, the right deltoid ligament, and the falciform ligament, which will hold the liver in the epigastric region, and in this case, because of the ligamentous fixation, the liver will not twist as well as be inverted. However, if the surgery involves the liver, after the surgery, it involves the first and second hepatic portal dissection, as well as freeing all the ligaments during the surgery, and fixing the liver appropriately after the surgery, to avoid the further formation of liver torsion, as well as the possibility of liver transposition.