Surgery is the mainstay of choledocholithiasis treatment, and medication is not advocated for stone expulsion. The treatment of choledocholithiasis is still based on surgery, which removes the stone, relieves the obstruction, and ensures the smoothness of the drainage after the operation, and endoscopic treatment can be considered for smaller stones. The treatment of taking medication to promote stone expulsion is ineffective and is not advocated. Surgical options include choledochotomy and lithotripsy, T-tube drainage and bilioenteric anastomosis. For simple choledocholithiasis, incision and drainage are sufficient. If there is concomitant cholecystitis and gallbladder stones, cholecystectomy is added; if the inflammation of the common bile duct causes severe obstruction and dilatation of the common bile duct, bile-intestinal anastomosis can be performed.