However, during clinical treatment, we often encounter patients with typical symptoms of cholecystitis, such as: right shoulder and back distension, epigastric distention and pain, aggravated by eating fatty food or poultry and egg food, accompanied by nausea and vomiting, belching and other symptoms, the results of auxiliary examinations of these patients are often: gastroscopy suggests superficial gastritis, BUS suggests gallbladder wall These patients often have recurrent episodes of the above symptoms, but often only receive oral medication from outpatient physicians, and some proprietary Chinese medicine may have some therapeutic effect, but the recurrent symptoms are painful for the patients, and outpatient physicians often refuse to give surgical treatment on the grounds that there are no stones in the gallbladder. Personally, I think that if non-stone cholecystitis has recurrent attacks, it means that there is a problem with the function of the gallbladder itself, and if conservative treatment is not effective, and if symptoms caused by gastrointestinal and other disorders can be excluded, surgery can be considered. We have clinical experience of patients with significant improvement in symptoms after surgery, which supports the view that surgery is recommended when conservative treatment for chronic non-stoic cholecystitis is ineffective.