The field of endohepatology has been evolving recently with multiple studies describing the success and safety of EUS-guided liver biopsy (EUS-LB) in obtaining liver parenchymal tissue. Although the supporting evidence embracing the use of this technique is convincing, variabilities in techniques are still an ongoing field for research.1 There is no consensus on the type of needle, depth of needle insertion, number of passes and actuations, or suction technique.