This study explores the relationship between the GHSR gene rs2922126 polymorphism and the susceptibility to non-alcoholic fatty liver disease (NAFLD) in the Chinese Han population, which has important clinical and genetic significance. The pathogenesis of NAFLD is complex, involving the interaction of metabolic disorders and genetic factors. The "multiple hits" hypothesis suggests that insulin resistance, lipotoxicity, and inflammatory reactions collectively promote disease progression, and genes related to energy metabolism may play a key role. As an important receptor that regulates appetite and energy balance, GHSR gene variants may affect an individual's genetic susceptibility to NAFLD. By comparing the genotype distribution between NAFLD patients and healthy controls, the study found that the AA genotype in the recessive model significantly increased the risk of NAFLD, with an adjusted OR value of 2.156 (P=0.008), suggesting that this locus may be a potential genetic marker for NAFLD. In addition, the study also analyzed the relationship between different genotypes and the risk of liver fibrosis and biochemical indicators, providing a reference for the non-invasive evaluation of disease progression. The research achievements help to reveal the molecular mechanism of NAFLD, provide a theoretical basis for screening high-risk populations and personalized prevention and treatment strategies, and have translational medical value.