Surgery is needed when the number of sediment-like stones is large and the diameter is large, with clinical symptoms, calcification of the gallbladder wall, accompanied by gallbladder polyps, thickening of the gallbladder wall, and so on. When the number of gallstones is large and the diameter is ≥2~3cm, the large-sized stones are easy to block the bile ducts, resulting in cholestasis, jaundice, etc., therefore, surgery is needed; pain in the right upper abdomen occurs after a full meal, eating greasy food, and in severe cases, abdominal pain, chills, high fever, jaundice, and the symptoms can be relieved by surgery. In addition, calcification of gallbladder wall or porcelain gallbladder is the main factor causing gallbladder cancer, surgical resection, early prevention of cancer; accompanied by gallbladder polyps ≥1cm or thickening of gallbladder wall (>3mm), there is also the possibility of cancer, surgical resection can be prevented at an early stage. When the above conditions are present, the mud-like gallstones need surgery. The commonly used clinical surgical procedures are laparoscopic cholecystectomy and choledochotomy and lithotripsy. Laparoscopic cholecystectomy is mainly used for stones at the gallbladder, and choledochotomy and lithotripsy is used for stones at the bile ducts. Laparoscopic surgery has the advantages of less trauma, quicker recovery and less pain, and has now become a routine clinical procedure. If you have the above symptoms, please consult the doctor in time and take active treatment, so as to avoid delaying your condition.