With the increasing opportunities of regular physical checkups, we have recently found that the number of patients who come to the clinic with their physical checkup sheets to consult whether to operate on gallbladder polyps is increasing, and the doctors are overwhelmed by the many different questions. But on the other hand, it also shows that the public medical media has overly magnified the dangers of some common minor human problems, so that ordinary people who are completely amateur to medicine have fear. For example, gallbladder polyp is a common and minor disease, but almost all medical science books and textbooks position it as “cancerous”, which is certainly worrying, but the problem is that the medical profession cannot and does not answer exactly how high the malignancy rate of gallbladder polyp is. If there is data on this, I personally believe that it is very watery and unsubstantiated. If even a hepatobiliary surgeon cannot answer the question of when to operate for gallbladder polyps, it would be too much to ask the patient to make a decision. It is not surprising that the patient and the professional surgeon may be off on the scale of gallbladder polyp surgery. Doctors have laparoscopic techniques skilled and rusty, there are differences in the level of hospital, the reality of bed tension or not, and even economic interests driven to induce patients to surgical removal of components, as long as the premise of not violating the principles of medical treatment, “cut or not cut” is doctor-led. As a patient, in front of the choice between pitying one’s own organ and the fear of cancer, one tends to be biased and lose one’s sense of direction. Well, if you are a patient of gallbladder polyps, I think you should at least know: 1, it is best to choose a level II or higher hospital for hepatobiliary ultrasound (CT, MRI may not necessarily find the lesion, but negative results shake the diagnosis), preferably after more than a year of ultrasound comparison every three months. If you can choose the same ultrasound doctor is even better. 2, a single polyp with a diameter of less than 1CM can live and work at ease, remember to review the ultrasound every six months is OK. 3.If there is more obvious pain in the right upper abdomen (even to the right shoulder and back, right waist, etc.) and other typical symptoms of cholecystitis, the gallbladder polyp is found after examination, and the symptoms obviously affect the mental and life status, and you repeatedly consider that gallbladder removal will not constitute a negative impact, you tend to remove the gallbladder surgically. 4, for gallbladder polyps long-term combined with inflammation into “porcelain gallbladder”, and even can not be distinguished from gallbladder cancer, it is recommended that the surgical removal of reluctantly, so as not to delay the disease. In any case, the probability of asymptomatic gallbladder polyps becoming malignant in people under 40 is very low, as long as you have a regular review at a small cost to relieve your mind of the pressure. Advanced age patients, huge polyps (>1CM), broad-based polyps, symptomatic polyps, and sclerotic gallbladder are better off with surgical removal. To emphasize, laparoscopic cholecystectomy is the preferred method, and a doctor and hospital with extensive experience in laparoscopic surgery can give you complete security.