Concept of rebalanced hemostasis has been proposed to explain discrepancy between results of these coagulation parameters & clinical scenario of patients. Normal hemostasis consists of 3 steps: platelet endothelial interaction, coagulation & fibrinolysis. First step is considered to be defective in liver failure because of thrombocytopenia & qualitative platelet dysfunction. However because of decreased plasma concentration of ADAMTS 13, plasma levels of vwF are increased thus increasing stickiness of platelets & rebalancing the primary hemostasis.