Your Lie in April Ending, Explained
Kaori dies during surgery while Kousei plays, and her letter reveals that she always loved him. What the sources say about the April lie, and how the anime and manga end.
Spoilers throughout. This page assumes you have finished the series.
Your Lie in April ends with Kaori's death and a letter. Kaori goes into surgery while Kousei plays in a piano competition; she does not survive, and a letter she left behind tells him that she always loved him. That letter is where the series explains the lie of the title, and on our reading of the sources below, the lie concerned her professed interest in his friend Watari. The anime was planned to reach the manga's ending: when it was announced in 2014, Anime News Network reported that it would run two cours and adapt the manga through the last chapter. This page covers that ending in full.
The competition and the surgery
Kodansha's description of the eleventh and final volume sets the scene: "Kaori undergoes surgery even as Kosei performs in his competition." In the anime this is episode 22. The official synopsis of episode 21 has Kousei giving up the piano again after he witnesses Kaori's condition suddenly worsen, with the old trauma returning: music carries off the people who matter to him. The episode 22 synopsis has him realize that he is on the stage because of the people around him who support him, and play to reach Kaori with everything he has.
ANN reviewer Rose Bridges describes how the finale handles the death. Rather than showing it in the hospital, the episode 22 review explains, the episode intercuts shots of Kaori in surgery with a fantasy performance in which the two of them play together, until she fades away, "just like she does in real life." The audience learns of the death through Kousei at the piano, not at a bedside.
The letter and the lie
The second half of the episode is the letter, read in spring after a winter visit to Kaori's grave with her parents. Kaori narrates it, and Bridges notes that the show saved her backstory, and "what exactly her 'lie in April' was," for that point. She summarizes the content plainly: "Kaori died, and it turned out she always loved Kosei." By episode 16, the same reviewer was already calling it "Kaori's Watari excuse" and noting that she was developing feelings for Kousei that she did not have for Watari. In episode 21, before the surgery, Kaori tells Kousei he is the reason she kept living.
Kodansha's final-volume copy puts the title in the same place: a friendship "that may have begun with an April lie." None of the sources checked here spells out the lie in so many words. On our reading of them, the lie was a way in: Watari was the excuse for getting close to Kousei, and the letter is where she admits it.
Tsubaki
The letter also tells Kousei about Tsubaki's feelings for him. Bridges reads this as Kaori giving her blessing, and notes that the anime stops short of pairing them off: the episode ends with Kousei and Tsubaki walking together, Kousei blushing because he now knows how she feels, with no sign yet that he returns it. The Tsubaki page follows how slowly she arrives at those feelings herself.
What the ending argues
One reading, and it is ours, is that the finale answers the question the series opened with. Kousei lost his ability to play when his mother died, as ANN's 2014 report puts the premise, and episode 21's synopsis has the same fear return: that music carries off the people who matter to him. Episode 22 puts him on stage at the moment of another loss, and the official synopsis is explicit that he plays because of the people who support him, not in spite of losing one of them. Bridges makes a similar point about the black cat in the last shot, the series' recurring image for the people Kousei has loved and lost: there will always be more of them, and more people worth reaching.
The ending is also tidier than some readers expect. The reviewer, who gave the episode an A, wrote that it "tied up every loose end" and left hope for Kousei's future but no room for a sequel. That fits an adaptation planned from the start to reach the manga's last chapter.
For more on the two leads, see Kousei Arima and Kaori Miyazono. The manga catalog page lists the eleven Kodansha volumes and the omnibus edition.