Hepatobiliary stones are prone to recurrence after treatment, and recurrence varies depending on the treatment method taken. For limited intrahepatic bile duct stones with fibrosis and atrophy, the recurrence rate is low after removal of the cancerous part of the liver. Unless the stones reappear elsewhere, the reappearance of stones may be related to the biliopancreatic outflow tract and less to the liver. There are also some patients who are not undergoing liver resection, the patient’s liver is not atrophic or fibrotic, and the main reason for stone retrieval recurrence is the presence of strictures. Stenosis is an important cause of recurrence of intrahepatic bile duct stones, which is a problem in hepatobiliary surgery nowadays. It is difficult to solve the stenosis problem because it will be narrowed again after the stenosis is solved, and it is difficult to solve the stone recurrence. Many patients have their liver removed to prevent recurrence, because intrahepatic bile duct stones are rarely confined to the liver segment, but are often diffuse. If there are lesions in both left and right liver, we should consider the biliopancreatic outflow tract and whether there are low and high biliopancreatic flow abnormalities, which can be further diagnosed by MRI, amylase measurement in bile and ERCP. Therefore, intrahepatic bile duct stones are a big topic and a big content, which is more complicated and difficult to treat.