Gallbladder polyps are not a disease that can be cured by itself; on the contrary, they have a certain tendency to become malignant. For gallbladder polyps with a maximum length of less than 1 cm, periodic (no more than 1 year interval) observation of their changes can be performed; for larger gallbladder polyps surgical treatment is required. Gallbladder polyps requiring cholecystectomy are as follows: polyps larger than 10 mm in diameter, polyps with rapid growth in a short period of time, polyps without a clot or wide basal polyps, patients over 50 years of age, complicated by gallstones or adenomyosis of the gallbladder. Ultrasound examination of the liver and gallbladder is recommended before surgery, and further ultrasonography or enhanced CT or MRI of the gallbladder can be done if available to determine the benignity or malignancy of the polyps. The main surgical option is laparoscopic cholecystectomy. For patients who are clearly considered to have gallbladder cancer, open cholecystectomy is mostly used at present. Once the malignancy is confirmed by intraoperative frozen pathological examination, partial hepatectomy around the gallbladder and lymph node dissection are required. For gallbladder cancer, minimally invasive laparoscopic radical cholecystectomy units are also available at home and abroad, but the technical and equipment requirements are higher. For gallbladder polyps less than 5 mm, generally speaking, benign ones are the most common, which can be temporarily observed without treatment. Ultrasound review is required at intervals of six months to one year. During the examination, pay attention to its size and growth rate changes. Once the change is rapid, surgical treatment is also needed, and a frozen pathology examination is needed to determine whether it is benign or malignant during surgical excision. Malignant cases may require additional removal of the liver tissue surrounding the gallbladder. Gallbladder polyps do not heal on their own, due to the possibility of malignant changes or the fact that some polyps of larger diameter are themselves cancerous. Therefore, it is not possible to hope that it will heal on its own and the treatment should be chosen according to each case.