Friends often ask whether gallbladder polyps should be treated surgically. First of all, let’s understand what is gallbladder polyp. Commonly referred to as gallbladder polyps should actually be called gallbladder polyp-like lesions, which can be divided into two categories: benign and malignant. Benign gallbladder polyps include non-neoplastic lesions such as cholesterol polyps, adenomyosis and inflammatory polyps, and benign neoplastic lesions such as adenomas, hemangiomas, fibromas, smooth muscle tumors and lipomas, etc. Adenomas are the most common among benign gallbladder polyps. Malignant lesions are mostly polyp type early gallbladder cancer, which is already a malignant gallbladder tumor and needs timely treatment. By far, adenoma is the most dangerous among benign gallbladder polyps because it can often malignantly lead to gallbladder cancer. However, it is not necessary to operate on gallbladder polyps as soon as they are found; proper evaluation is important. When a gallbladder polyp is larger than 1 cm, its risk of malignant transformation is greatly increased and should be treated actively. Those within 1 cm should be reviewed regularly to closely monitor changes, and those that are significantly larger should also be treated actively. Gallbladder stones are a high-risk factor for gallbladder cancer, meanwhile, if gallbladder polyp with gallbladder stones is found to exist, it should be actively treated in hospital. In addition to gallbladder explanation, age older than 50 years old, symptomatic, and polyp isolated, these are also need to be alert. Cholecystectomy is now overwhelmingly accomplished by laparoscopic surgery with minimal pain and short hospital stay. If the gallbladder is considered to be at risk of malignancy before surgery, or if the surgeon finds that the specimen can be malignant intraoperatively, a rapid cryopathological examination of the excised gallbladder is often required to determine whether malignancy exists, and if unfortunately the cryopathological examination confirms malignancy, wedge resection of the liver and regional lymph node dissection are often required, except in cases of very early staging. If no intraoperative cryopathology is done or there is no condition for cryopathology, and postoperative pathology confirms malignancy, radical surgery is finally performed openly within 1 month after the initial surgery if conditions allow. Gallbladder cancer is highly malignant and early detection and treatment is the only possible means to improve survival. For gallbladder polyps, they should not be ignored and should be seen by professional doctors in hospital in time.