Backgound: non operative management (NOM) of liver injury has generally become the most frequent treatment. Current rates of success for NOM for hepatic trauma of selected patients have been reported to be safe and efficient. Objective: The purpose of this work is to study and evaluate different modalities in management of liver trauma regarding the available diagnostic modalities and current management options. Patients and Methods: thirty patients with hepatic trauma were included in the study. They were classified according to their vital stability into 2 groups; conservative and operative groups. The conservative group was formed of 21 patients, while the operative group was formed of 9 patients. Results: a higher rate of morbidity and mortality during the course of management was found among the patients of the operative group, while 4 patients (19%) in conservative group suffered from complications 6 patients (66.7%) in operative group suffered after the operative management. The only mortality case was found in operative group. Conclusion: the operative management of liver trauma is associated with higher grade of injury, higher needs for blood transfusion, ICU admission and a higher rate of further management, morbidity, mortality and the presence of co-injuries