In the hepatobiliary surgery clinic, one of the most common diseases is gallbladder stones. The most frequently asked question is: Doctor, do I need to have surgery? This is a question that is of great concern to many patients with gallbladder stones. The presence of stones in the gallbladder without symptoms is medically known as “resting stones”. In recent years, due to the widespread use of ultrasound, such patients are often seen during medical examinations. Gallbladder stones are usually caused by over-nutrition and the presence of more cholesterol in the diet than the body normally needs, resulting in the formation of stones in the gallbladder. Doctors often have two views on gallbladder static stones: one is the long-term asymptomatic static stones, whose natural process is benign and can coexist peacefully without surgery; the other view is that although static stones are currently asymptomatic, they should not be taken lightly, as they do not remain static forever, and are like a time bomb buried in the body with the risk of explosion, so it is better to treat them early. If left untreated, stones can move and rub in the gallbladder, causing inflammation of the gallbladder wall; stones can block the gallbladder duct, causing severe biliary colic or fluid in the gallbladder; acute cholangitis can lead to necrosis and perforation of the gallbladder; small stones can enter the common bile duct from the gallbladder duct, eventually leading to obstructive jaundice and purulent cholangitis; in addition, due to the long-term stimulation of stones, the gallbladder can become cancerous. However, these patients should be reviewed regularly. Patients with gallbladder stones have more than 7 times higher risk of gallbladder cancer than those with cholecystitis without gallbladder stones, and if cancer cannot be excluded, surgery should still be considered. If the gallbladder stones affect the patient’s normal life, surgery should be considered. Because everyone has a different understanding of life, some patients can have a low-fat diet, insist on oral medication, and tolerate the general pain better, so they should not consider surgery first; some patients feel that a controlled diet is unacceptable, so they must have the surgery done first. If gallbladder stones are combined with cholecystitis, biliary pancreatitis pancreatitis, etc., surgery is definitely necessary. The size of the stone is not directly related to whether or not to operate, and many patients may think that the larger the gallbladder stone is, the more they should operate. In fact, gallbladder stones can cause symptoms mainly because they block the outlet of the gallbladder to discharge bile, causing “pain if it does not pass”, while generally larger stones do not easily cause symptoms, but long-term stimulation of the gallbladder increases the possibility of gallbladder malignancy; therefore, generally 2-3mm multiple gallbladder stones can be embedded in the cystic duct or fall into the If a gallbladder stone has caused cholecystitis, the probability of a second attack is high; smaller stones may also be very symptomatic, and sediment-like stones can also cause cholestatic pancreatitis and cholangitis.