Introduction: The liver is one of the most frequently damaged organs and remains the most common cause of death following blunt abdominal trauma. Currently, a conservative management constitutes the treatment of choice in patients with hemodynamic stability..

Aim and Objective: We aimed to analyze the effectiveness and morbi-mortality of both conservative and surgical treatment options.

Material and Methods: This prospective study was conducted at the Dept. of Traumatology and Surgery, MGM Hospital, Jaipur, Rajasthan, from April 2023 to July 2023. The study used non-probability consecutive sampling to select 80 liver trauma patients. The patients included were at least 18 years old and of both genders, and they were trauma patients who were hemodynamically stable at the time of presentation and voluntarily agreed to participate in the study.

Results: The study included patients with a mean age of 40.32 ± 11.5 years. The most prevalent types of extra-abdominal injuries among the patients were pancreas injuries (17.5%), CNS (Central Nervous System) injuries (57.5%), chest injuries (15%), diaphragm injuries (15%), spleen injuries (16.2%), and kidney injuries (10%). There was a significant variation (p=0.000) observed in the ICU stay and hospital stay between both study groups. We found 3.3% mortality in conservative group and 25% in operative group.

Conclusion: Conservative treatment is an adequate treatment in mild to moderate liver injury patients. Failure of conservative treatment did not show a higher incidence of complications or mortality but it should be performed in centres with experienced surgeons.