The liver is one of the most injured intra-abdominal organs in patients with severe blunt abdominal trauma. The management of liver injuries has evolved over the years to include a combination of nonoperative, endovascular, and operative management strategies. Initial diagnostic management strategies are dictated by hemodynamic status, whereby focused assessment with sonography in trauma (FAST) can rapidly detect intra-abdominal free fluid in hemodynamically unstable patients, and computed tomography (CT) with intravenous contrast can direct intervention in hemodynamically stable patients. Hemodynamically unstable patients, those failing to respond to resuscitation, or those with diffuse peritonitis after blunt abdominal trauma should undergo urgent exploratory laparotomy.