People who have immunity and normal LFTs do not need treatment. People who are chronically infected but do not have any liver damage also do not need treatment but need close monitoring with regular (6 monthly) liver function tests. However, if a person has liver damage they should consider having treatment for hepatitis B. The decision on when to start treatment is complex and should be made in consultation with a gastroenterologist with an interest in hepatitis B. A number of anti-viral medications are available for hepatitis B treatment. Treatment options should be considered in consultation with a gastroenterologist with an interest in hepatitis B.