To go abroad to receive medical treatment in a foreign country with a different culture and different language can be stressful. Our hospital has received 19 Indonesian patients since 1985. It is a great honour that these Patients from overseas rely on us, but the lack of experience with foreign patients and the inability to communicate have caused several problems. In the present report, we describe our experience with Indonesian patients with hepatocellular carcinoma (HCC), in particular, those who underwent liver resection. We hope this report will help Indonesian HCC patients receive comfortable treatments in Yamanashi and also help our Japanese staff understand patients from other cultures.