Pain from fatty liver does not necessarily mean that the patient has progressed to cirrhosis. To determine whether it is due to cirrhosis, imaging tests, assessments of liver fibrosis through four specific tests, or measuring the liver's transient elastography should be conducted. It is also necessary to consider the patient's clinical symptoms and physical examinations. Pain in the liver area due to fatty liver might be caused by an enlarged liver after fat accumulation, which can irritate the liver capsule and cause pain. This requires a specific analysis based on the individual's situation. Treatment for fatty liver should actively involve abstaining from alcohol, reducing blood lipids, and engaging in appropriate exercise.