Objective To evaluate the value of damage control surgery(DCS) in the treatment of severe liver injury.Methods The clinical data of 19 patients with severe liver injury who underwent DCS treatment from July 2005 to January 2010 were retrospectively analyzed.Results 16 patients were cured,and 3 died.Postoperative complication occurred in 4 patients.Conclusion DCS should be actively performed in the patients with severe liver injury who meet the indication of DCS.The procedure should be conducted with multiple steps according to the sites and degrees of the injury,which can decrease mortality of severe liver injury effectively.