The liver is the most common organ for distant metastases of gastric cancer, and gastric cancer liver metastasis (GCLM) is the major threat to gastric cancer patients during treatment. At present, standard treatment program for GCLM has not been established in China and other countries. Surgical treatment with radical resection of the primary lesion and liver metastasis is the only possible curative option for GCLM. The authors, in this review, address the clinical features of GCLM, as well as the advantages and limitations of its surgical treatment.