D’Amico et al identified prognostic stages for a patient with cirrhosis. This can help to identify a patient who may benefit from more aggressive management. The authors are from Ospedale V Cervello (Palermo), Universita di Milano, Universita di Palermo, Instituto Mediterraneo per I Trapianti e Terapie ad alta tecnologia and Ospedale Civico Fatebenefratelli (Palermo) in Italy.