The present study aim to compare the therapeutic effect of metformin, pioglitazone and vitaminE E in patients with non-alcoholic fatty liver disease. in this study, 93patients with the diagnosis of NAFLD(according to sonographic findings), referred to the Imam-Reza Hospital,Kermanshah during 2009-2011, after obtaining informed consent from participation in the study, were randomly divided into three groups. Then,the three groups received the following treatment regimens for 12weeks: one group received metformin (2gr daily),the second group received pioglitazone(30mg daily)and the third group took vitaminE (800IU daily). Before initiation of the experiment and at the end of treatment course,liver function tests(LFTs), body mass index(BMI), insulin resistance index(HOMA-IR), fasting blood sugar and serum level of insulin were measured.