Patients with liver metastasis of gastric cancer will not only show symptoms of progressive gastric cancer, such as epigastric pain, loss of appetite, weight loss, vomiting blood and black stool, but also a series of digestive system symptoms of cancer spreading to liver. Epigastric pain is the most common in advanced gastric cancer, with progressive aggravation of pain and persistent severe pain radiating to the lower back when the cancer invades other organs. In advanced stage, it is malignant, manifested by loss of appetite and emaciation. Some patients may be accompanied by vomiting blood and black stool. Gastric cancer located near the cardia may cause dysphagia, and located near the pylorus may cause pyloric obstruction. In the early stage of cancer metastasis to liver, clinical symptoms are atypical. With the progression of the disease, some patients may have pain in liver area, mainly dull and vague pain, and may also have digestive symptoms such as nausea, vomiting, poor appetite, jaundice, abdominal distension and so on. Liver metastasis of gastric cancer mainly occurs through blood line metastasis, lymphatic metastasis or direct invasion of primary tumor, etc. Clinical treatments for liver metastasis of gastric cancer mainly include surgical resection, systemic chemotherapy, ablation therapy, radiation therapy and supportive therapy. If liver metastasis occurs in gastric cancer patients, they should go to hospital for standardized treatment as early as possible to avoid delaying their condition.