Liver fibrosis begins at the cellular level. Liver cells (called "hepatocytes") can be injured by many things. One common way is by viruses, including the five viruses that specifically cause hepatitis. Whenever hepatocytes are infected with a virus, the body's immune system is stimulated, resulting in inflammation. If the immune system isn't able to get rid of the virus soon enough, chronic inflammation will lead to fibrosis. Extensive fibrosis leads to cirrhosis.

