Gallbladder polyps is a comprehensive concept, mainly a general term for lesions that protrude from the wall of the gallbladder into the lumen. They include: cholesterol polyps (cholesterol crystals, understood as the precursor of cholesterol stones); inflammatory polyps; gallbladder adenomyosis; and gallbladder adenomas. Gallbladder adenomas have the potential to become malignant and are understood by some scholars as precancerous lesions. The differential diagnosis of these categories by clinical imaging lacks reliability and requires pathological examination; therefore, treatment of gallbladder polyps requires caution and cannot be done because laparoscopy is less invasive everything. Jianfeng Xue, Department of Hepatobiliary, Pancreatic and Liver Transplantation Surgery, First Affiliated Hospital of Zhengzhou University 1.No classification, gallbladder polyps with a diameter of 1 cm or more require surgery. 2, multiple smaller polyps are mostly cholesterol crystals, at this time to remove the gallbladder, the gallbladder is mostly innocent sacrifice, symptoms obviously affect life can be surgically removed, if the symptoms are not obvious or asymptomatic, can be regularly observed, every six months follow-up ultrasound. I also saw in clinical practice, ursodeoxycholic acid class Gallium class drugs some gallbladder polyps can disappear. 3.Single, short or wide base, the standard of surgical excision can be relaxed to 7mm; 4.Gallbladder polyps and gallbladder stones coexist, because of the repeated stimulation of cancer, can be removed as soon as possible. 5, older, or combined with diabetes, hypertension, coronary heart disease can be actively removed. 6. Those whose life is affected by great stress can also be removed as early as possible. If the gallbladder is suspected to be malignant at the same time, intraoperative frozen section test should be performed to understand the nature of the adenoma, and if it is cancerous, according to the depth of infiltration, partial hepatectomy with lymphatic dissection can be performed immediately to avoid secondary surgery. For patients with strong demand for biliary preservation, polyps removal can be considered for solitary polyps. Most of the gallbladder polyps are non-adenomatous polyps, so most of the patients only need to review the ultrasound regularly and there is no need to worry excessively.