42 cases of gastric cancer associated with hepatic cirrhosis were reviewed retrospectively. These patients represented 2.8% of 1496 patients with gastric cancer who were treated over the 13 years period from 1980 to 1992. The male to female ratio was 3.7:1. On the basis of a detailed classification of the preoperative hepatic function into three risk groups, we have established a preoperative means of assessing surgical indication. Among the 42 patients, four patients were inoperable, and thirty-eight patients underwent gastric resection. One patient was died due to postoperative complication. In the preoperative assessment of operative risk, K-ICG was the most important factor.