Cucchetti A, et al. – The clinicians used a decision–making approach to figure out whether liver stiffness (LS) measurement before surgery of hepatocellular carcinoma (HCC) could be useful in avoiding post–hepatectomy liver failure (PHLF). They suggested that LS measurement probably evaluate a reduction of PHLF under “expected utility theory” fulfilment. However, the degree of PHLF might be minor and risk seeking individuals could accept such a risk on the basis of surgical benefits.