In general, direct bilirubin 11.9 μmol/L is not high risk, i.e., direct bilirubin 11.9 μmol/L is not high risk. Whether it is high risk or not is related to whether the total bilirubin is normal or not. If the total bilirubin is normal, such as checking after drinking alcohol, it is not high risk; if the total bilirubin is not normal, such as gallstones, cirrhosis and other diseases, it is high risk. 1. Total bilirubin is normal: checking after drinking alcohol may cause direct bilirubin of 11.9 μmol/L. Generally speaking, total bilirubin within the normal range and direct bilirubin 11.9μmol/L are not high risk, and it is necessary to wait until the alcohol is metabolized and then check again. 2. Total bilirubin is not normal: (1) Gallstones: Stones may compress the common hepatic duct and cause biliary obstruction, resulting in a direct bilirubin of 11.9 μmol/L and an abnormal total bilirubin. This condition, which is high risk, requires surgical treatment, such as minimally invasive laparoscopic cholecystectomy. (2) Cirrhosis: Liver cells are damaged and bilirubin enters the bloodstream directly, presenting with a direct bilirubin of 11.9 μmol/L and an abnormal total bilirubin, which is high risk. Surgical treatment, such as liver transplantation, needs to be considered. Direct bilirubin 11.9μmol/L test result alone cannot accurately determine whether it is high-risk or not, it is recommended to consult the doctor in time, under the guidance of the doctor, combined with the characteristics of the medical history, other test results to make an accurate judgment of the cause of the disease, and carry out standardized treatment.