Objective To detect the expression of Siva-1 in gastric cancer tissue, and to investigate the relationship between Siva-1 expression level and the clinical characteristics of gastric cancer. Methods We selected the gastric cancer tissues and adjacent normal tissues surgically removed in our hospital from January 2016 to December 2018, each with 54 cases. Quantitative real-time polymerase chain reaction (qRT-PCR) and immunohistochemistry were used to detect the mRNA and protein expression of Siva-1 in the gastric cancer and corresponding adjacent normal tissues. The relationship between the expression of Siva-1 and the clinicopathological features was analyzed. Results The expression level of Siva-1 in gastric cancer tissues was significantly lower than that in adjacent normal tissues (P < 0.05). The positive rate of Siva-1 differed in tissues with different tumor diameter and stage (P < 0.05). The correlation analysis further suggested Siva-1 expression negatively correlated with tumor size and pathological grade (P < 0.05). Conclusions Siva-1 is lowly expressed in gastric cancer tissues, and is negatively associated with tumor size and pathological grade, indicating that Siva-1 may play a role in suppressing gastric cancer as a potential biomarker.