In this study, we analyzed the pediatric recipients who received liver graft biopsy with normal ALT levels after LT; the pathological results showed liver fibrosis stages ≥S1, ≥S2, and ≥S3 were accounted for 65.5% (19/29), 34.5% (10/29), and 10.3% (3/29), respectively. This evidence concerns the gene GPT and Hepatic fibrosis.