A 66-year-old woman with Hepatitis C virus-related cirrhosis was referred to our institution for endoscopic management of large isolated gastric varies. She was recently admitted to another hospital for melena and hepatic encephalopathy. Esophagogastroduodenoscopy (EGD) during that hospitalization had shown large gastric varies without significant esophageal varies. Given no active bleeding was seen during endoscopy, no endoscopic intervention was performed, and she was conservatively managed with plans for outpatient follow-up after discharge.