In a series of 172 operated patients with stomach carcinoma, 23 were proved to have liver metastases at operation and at autopsy. Mean survival time in this group was 6 months. The survival rate was shorter for patients over 70 years of age and for those having extensive tumor growth in the liver. The treatment against the stomach cancer did not seem to influence the survival. The risk of incorrect diagnosis of liver metastases from gastric carcinoma is approximately 5–10%. Alkaline phosphatases and bilirubin seem to be unreliable for preoperative diagnosis of stomach metastases in the liver.