Whether gallstones 0.7 cm is serious or not should be decided according to whether the patient has clinical symptoms or not, asymptomatic patients are not serious and symptomatic patients are more serious. Gallstones are a common disease, 0.7 cm gallstones are small, most people do not have obvious clinical manifestations, this time the disease is not serious, no special treatment, usually only need regular observation and follow-up stone size. However, when 0.7 cm gallstones cause biliary colic, epigastric pain, gallbladder effusion, pancreatitis and other complications, the situation is more serious and requires cholecystectomy. Cholecystectomy is usually performed laparoscopically, which is less damaging to the patient, less painful, less scarring, and the patient can recover in a short period of time after the operation, and there are fewer complications after cholecystectomy. Therefore, patients with gallstones should visit the hospital in time to decide on a specific treatment plan based on the doctor’s professional assessment.