Hepatocellular carcinoma (
HCC
) has high recurrence rates even after curative hepatectomy. Drug therapy for recurrence of
HCC
is still limited; therefore, identifying new therapeutic targets is urgently needed. We searched for genes that would predict
HCC
recurrence from intrahepatic metastasis in an exhaustive
DNA
microarray database by searching genes associated with high early recurrence rate and having higher expression in the tumor area compared to background liver. We detected lysyl oxidase (
LOX
) and validated the clinical significance of
LOX
in 358 patients who underwent hepatectomy. Expression of
LOX
was evaluated by
qRT
‐
PCR
, and immunohistochemical (
IHC
) staining. High
LOX
expression group had a significantly higher recurrence rate than the low
LOX
expression group (2‐year recurrence rate was 64.0% vs 24.2%,
P
< .0001 for
IHC
) and poorer survival rate (5‐year rate was 60.1% vs 86.2%,
P
< .0001 for
IHC
). Multivariate analysis showed that high
LOX
expression was an independent risk factor for early recurrence (
IHC
:
HR
, 2.52;
P
< .0001). Bioinformatic analysis showed that
LOX
expression was associated with hypoxia‐inducible factor‐1α (
HIF
‐1α) and the hypoxia cascade, suggesting that
HIF
‐1α or hypoxia regulates
LOX
expression and induces epithelial‐mesenchymal transition (
EMT
). In vitro,
LOX
and
HIF
‐1α were involved in migration and invasion capability. High
LOX
expression is associated with
EMT
markers and predicts early recurrence and poor survival in patients with
HCC
. These findings indicate that lysyl oxidase could be a potential therapeutic target for early recurrence of
HCC
.