The liver cancer has been steadily rising at an alarming rate, liver cancer was recognized as the 4th most common cancer in males and accounted for 37% of all infection-related cancers in females in a recent study from India. Almost 85% of primary liver cancers occur in the developing world like our country. Hepatitis B and C were the measure cause, however with improved quality of life, the fatty liver related cirrhosis is also becoming a major concern. In contrast to western countries in India/Asia the liver cancer is detected late where treatment options are very limited leading to a high rate of cancer related death. This is all due to lack of annual health check up, awareness and poor sensitization among the health care providers to monitor. Lets join hand, target high-risk group, encourage regular health check up and offer treatment at early stage.