Liver resection is the most effective treatment for primary liver tumours and metastasis to the liver, and remains the only potentially long-term curative therapy for patients with colorectal cancer (CRC) liver metastases. Nevertheless, there is a significant incidence of tumour recurrence following liver resection. Cellular and molecular changes resulting from resection and the subsequent liver regeneration process may influence the kinetics of tumour growth, contributing to recurrence. Although commonly associated with the systemic homeostasis of blood pressure, fluid and electrolyte, the reninangiotensin system (RAS) has recently been shown to play a role in regulating cell proliferation, apoptosis and angiogenesis in local organs as well as in malignancies. An electronic search of the English literature on the role of the RAS in liver regeneration and tumourigenesis was performed using PubMed, with additional relevant articles sourced from reference lists. Studies have shown that the blockade of the RAS pathway stimulates liver regeneration and inhibits tumour progression. An understanding of the role of RAS in liver regeneration and tumourigenesis may enable alternative strategies to improve patient outcome and survival after liver resection. This review will discuss the role of the RAS in liver regeneration and in tumour recurrence post-liver resection. The potential of the RAS as a novel therapeutic target for CRC liver metastases patients undergoing liver resection will be outlined.As the liver is one of the few organs that has the ability to regenerate to its full capacity and function, liver resection has been performed to remove benign or malignant lesions of the liver in cancer patients (1). Liver resection is currently used to treat hepatocellular carcinoma patients with a well-preserved hepatic function as well as patients with colorectal cancer (CRC) liver metastases. Liver resection remains the most appropriate and effective treatment in the removal of primary liver tumours and it is the only therapy that offers a potential long-term cure for patients with CRC liver metastases (2, 3). Worldwide, hepatocellular carcinoma is the fifth most common cancer and it is the leading cause of cancer death in many areas (2). CRC is the second leading cause of death across both genders worldwide, and in the USA alone, approximately 150 000 cases of CRC are diagnosed annually, resulting in 50 000 deaths (4-6). The majority of CRCrelated deaths are associated with liver metastasis, which occurs in up to 70% of patients with CRC (7,8).Currently, curative therapy is achieved in 20-60% of patients by liver resection in conjunction with chemotherapy (4, 7). The incidence of post-operative complications, mortality rate and the number of days of ICU post-resection correlate directly with the number of hepatic segments resected (8). Post-operative complications occur in 5-40% of patients and mortality following liver resection is almost exclusively because of liver failure resulting from inadequate post-operat...