Hepatic ascites is a clinical manifestation of advanced cirrhosis, and the survival time of patients without active treatment is usually 3-5 years. Hepatic ascites is the retention of body fluids in the abdominal cavity due to lesions in the liver and is a clinical manifestation of advanced cirrhosis, also seen in hepatocellular carcinoma and portal vein embolism. Hepatic ascites needs to be distinguished from ascites caused by other diseases, such as multiple cancers with abdominal metastases and multiple diseases resulting in hypoproteinemia, which can lead to ascites. Hepatic ascites generally requires treatment of the primary disease, supplementation of albumin, diuresis, and correction of water-electrolyte balance disorders. Severe hepatic ascites can lead to abdominal distention, diarrhea, respiratory distress, and other symptoms, requiring treatment with ascites extraction. In general, after active treatment, the symptoms of liver ascites can be relieved, but cirrhosis is difficult to be reversed, and the life expectancy of patients is usually 3-5 years. Comprehensive treatment is needed for hepatic ascites, and if patients actively cooperate with the treatment, the recovery after treatment can be improved.