Although the incidence is not high, pregnancy is complicated by a wide variety of gastrointestinal and hepatic disorders. Gastrointestinal and hepatic complications during pregnancy are associated with increased morbidity and mortality of the mother and fetus. Diagnosis and treatment are often difficult because of physiologic changes during gestation and limitations or reluctance in using invasive procedures. Recent literature is reviewed in regard to this issue. Early diagnosis and prompt management are mandatory to attain favorable maternal and fetal outcome.