With the improvement of the standard of living, more and more people have gallbladder stones found during medical checkups. I have seen many people bring their medical reports to the clinic and ask if gallbladder stones need to be treated and how to treat them. First of all, I want to emphasize to you that gallbladder stones generally cannot be ablated with medication! For patients found to have gallbladder stones, the need for treatment is based on my own experience and the relevant domestic and foreign literature, generally speaking, the following cases: a. Small asymptomatic stones (found only by physical examination) less than 0.2-0.3 cm in diameter or sediment-like stones generally require treatment, the biggest problem with such stones is not the stones themselves but the biliary pancreatitis induced by them. About 75% of pancreatitis in China is caused by biliary factors, and pancreatitis, especially severe pancreatitis, may have serious complications such as respiratory failure and acute renal failure. Once serious complications occur the course of the disease is significantly longer and the cost of treatment increases significantly. Another complication caused by small stones is acute cholangitis, which manifests as jaundice (yellowing of the skin and sclera), high fever, and in severe cases, shock and psychiatric symptoms, requiring emergency surgery or endoscopic biliary drainage. For sediment-like stones very rare cases can disappear by ursodeoxycholic acid capsules (very small probability). Acute abdominal pain: There are two types of abdominal pain caused by stones, one is biliary colic, which is manifested as distension and pain under the sword in the epigastrium (and at the heart, as it is usually called), and there can be nausea, eructation and pain in the back of the right shoulder. This condition can be relieved by the application of antispasmodic and analgesic drugs. Secondly, in acute cholecystitis, in addition to the abdominal pain mentioned above, the abdominal pain may be localized in the right upper abdomen, and there may be fever and right upper abdominal pressure pain. This situation will be gradually relieved after the application of antibiotics and antispasmodic treatment. 2, chronic stone cholecystitis caused by epigastric fullness, right shoulder and back pain, left chest pain, etc., need to be distinguished from chronic gastritis, low back fasciitis, cervical spondylosis and coronary heart disease. Chronic gastritis: in general, poor appetite does not want to eat, while chronic cholecystitis is mostly afraid to eat (epigastric distension and pain worsens after eating). 3.Acute pancreatitis, acute cholangitis: symptoms as described above. 4.Induced gallbladder cancer: Generally speaking, the risk of gallbladder cancer is significantly increased with a longer history of gallbladder stones, more than ten years. Most of the stones with symptoms need to be treated surgically, using laparoscopic surgery to remove the gallbladder. If patients with no obvious symptoms eat less fatty food in their normal diet, the occurrence of acute abdominal pain can be reduced.