Gallstone extraction is a new procedure for patients with gallbladder stones, which consists of three steps: cutting open the gallbladder, removing the stones and closing the gallbladder. Currently, this procedure is done in a minimally invasive way, using laparoscopy and soft and hard choledochoscopes, leaving no or only one or two very small scars (up to 1 cm in length) on the patient’s body surface. A considerable number of patients have the question, why should my doctor give me a cholecystectomy when there is a procedure like biliary stone extraction? Why are some doctors in favor of this procedure and others against it? First of all, biliary lithotripsy is a new surgical procedure. With the development of medical technology, various devices have emerged, including: laparoscopy, rigid biliary scopes, various lithotripsy baskets, etc., which provide a guarantee to remove all the stones while preserving the gallbladder. Although gallbladder removal surgery has achieved certain efficacy, it is still a controversial procedure without being recognized by the whole World Health Organization and medical colleagues. On the contrary, the clinical use of cholecystectomy to treat gallbladder stones and other gallbladder diseases has been used worldwide for more than 100 years, and in the course of more than 100 years, it has been proven that cholecystectomy is a safe and reliable surgical method with minimal impact on the human body. Secondly, there are strict indications for gallbladder removal. Forcing the gallbladder to retain a thickened wall and a non-contracting gallbladder can have a negative impact on the patient. A non-functional gallbladder is like a pool of stagnant water, which will breed a lot of bacteria and form stones, causing harm to the human body. Thirdly, many patients are worried about “what will I do if I don’t have a gallbladder, will it affect my daily life? The function of gallbladder in human body is equivalent to a small warehouse of bile. The gallbladder itself does not have the function of secreting bile, and bile is secreted by the bile duct of liver, so after gallbladder removal, the secretion of bile is not affected and can be eaten normally. The gallbladder warehouse function will be replaced by other biliary tracts inside and outside the liver, and the impact on the body is minimal. Finally, the type of surgery the doctor takes to treat gallbladder stones needs to be analyzed according to the specific problems of the condition and decided after consultation with the patient. For patients with indications, minimally invasive biliary stone retrieval surgery can be taken to allow patients to obtain satisfactory results.