As the liver occupies significant space of the abdominal cavity, it is prone to penetrative or blunt trauma. This kind of trauma management and diagnosis underwent a lot of changes during the last century. With access to radiological modularity and enhanced medical care, a shift toward non-operative and conservative management emerged. We aimed to review the literature reviewing the etiology of liver trauma, mechanism of injury, clinical presentation, classification, diagnosis, and management options. For the selection of articles, PubMed database was used and then gathered papers underwent a thorough review. In liver trauma, a correct stepladder approach should be done by the treating team to achieve the desired outcome for the patient. Using radiological imaging and assessing the vital signs of the patient is the foundation block in the road of accurate classification. Furthermore, dealing with each case individually in line with the World Society of Emergency Surgery (WSES) updated guidelines would pave the road for the best management option, hence improved the outcomes and reduced mortality.