Whether or not surgery is needed for hepatic bile duct stones depends on whether or not the stones are causing clinical symptoms and whether or not there is any abnormality in the structure of the liver. It is recommended that patients with hepatic bile duct stones go to the hospital and follow the doctor’s instructions for treatment. 1. If the number of stones is small and does not cause clinical symptoms, then no treatment can be carried out first, and regular follow-up and observation can be carried out. 2. If the number of stones is large and causes corresponding clinical symptoms, such as abdominal pain, fever, jaundice, etc., then after taking antibiotics is ineffective, surgery should be carried out immediately. 3. If there are many recurrent infections of liver and gallstones, causing abnormal changes of liver structure, such as localized liver atrophy, liver abscess, biliary cirrhosis, etc., surgical treatment is needed. Surgical treatment includes choledochotomy and lithotripsy, bile and intestinal anastomosis, and partial hepatectomy. It is recommended that patients visit the hospital, improve the examination, and carry out treatment under the guidance of the doctor.