Background: Gold nanoparticles [GNPs] are significant scientific achievements which are effectively employed in medicine. However, in vivo biological impact of these particles should be assessed to investigate their safety on human health. Aim: Study of the biological effect of different gold nanoparticles doses on the liver of adult female rats exploring the novel mechanisms of gold nanoparticles induced liver damage. Materials and Methods: Forty adult female rats were separated into one control group [Group I] and two GNPs-treated groups [Group II; 40μg/kg and Group III; 400μg/kg]. Specimens of the liver were taken to be processed for the light and electron microscopy in addition to immunohistochemical staining technique for the p53 protein, tumor necrosis factor alpha [TNF-α] and B-cell lymphoma 2 [Bcl-2]. Results: Administration of gold nanoparticles to adult female rats caused various histological deterioration in the liver depending on the dose. Hepatocytes showed vacuolated cytoplasm and pyknotic nuclei. Dilation and congestion of the central veins, blood sinusoids, hepatic artery and portal vein were seen. Disrupted endothelial layer was observed in some central veins. An apparent increase in kupffer cells and mononuclear cellular infiltration were observed. The immunohistochemical results demonstrated a significant increase in p53 and TNF-α and decrease in Bcl-2 immunoreactions. Ultrastructurally, swollen or damaged mitochondria, dilated rough endoplasmic reticulum [RER] and apparent glycogen depletion were observed in the hepatocytes. Conclusion: Gold nanoparticles induced various dose dependent histological deterioration, inflammation and apoptosis in the liver of adult female rats. So, it should be given cautiously to females to avoid liver damage.