Patients often ask, “Doctor, why do I have polyps in my gallbladder and do they matter?” In fact, there is no need to be nervous about having gallbladder polyps, most of them are benign and do not even require treatment. Gallbladder polyps are divided into benign and malignant, of which benign polyps account for more than half. Benign polyps include inflammatory polyps, cholesterol polyps, adenomyosis, adenomatous polyps and so on. Among these, cholesterol polyps usually occur in obese patients and can be understood as fatty deposits on the gallbladder wall, so they usually do not require surgical treatment. Adenomatous gallbladder polyps have a certain chance of malignancy and require surgical treatment. The other two types of polyps depend on the size of the polyp, single or multiple, etc. Generally, polyps less than 1 cm in diameter do not need to be treated, while polyps larger than 1 cm have an increased chance of malignancy and require surgical removal of the gallbladder. Single polyps are more dangerous than multiple polyps. Some patients do not understand and often ask, “Why not partial removal, is it better for me to keep the gallbladder?” Here we need to make it clear that the human bile duct is a long duct, and the gallbladder is only a small part of it, so gallbladder removal will not have a great impact on the human body. It is generally not recommended to perform partial gallbladder removal surgery, because once gallbladder polyps occur, it means that the function of gallbladder has problems, and at the same time, large polyps have the possibility of malignant transformation, and the remaining gallbladder may have residual tumor cells. Therefore, cholecystectomy is the first choice for the treatment of gallbladder polyps.