Liver biopsy has been considered the gold standard and an indispensable reference method for therapeutic decisions regarding chronic hepatitis C, but it is an invasive and painful procedure, with rare but potentially life threatening complications . And it is contraindicated in the presence of some conditions as coagulopathy and thrombocytopenia. And that was the cause to search for other non invasive measures, the most accurate one of them was transient elastography (fibroscan).