Most gallbladder stone patients want gallbladder preservation treatment, however, many doctors often recommend that they directly remove the gallbladder, and said gallbladder stone surgery is “unreliable”, “recurrence rate” is too high. However, there are also survey data that nearly 90% of gallbladder-cutting patients regret removing their gallbladders. This makes many patients feel confused. “Doctor, my son has gallstones, and we have seen many specialists who say we have to operate to remove the gallbladder. He is only 23 years old, so if he loses his gallbladder at such a young age, will it affect his future life?” Patients often ask this question. Gallbladder stones are a common surgical condition with an incidence of 4.42%-8.20% in China. 92.4% of patients need to receive medication or surgery during their lifetime, and there is a difference between having the gallbladder removed or not. The sequelae of cholecystectomy are annoying. Since the introduction of laparoscopic cholecystectomy (LC for short) in 1983, it has gradually replaced other treatment methods and become the gold standard for gallbladder stone treatment because of its minimally invasive, wide indications, clear efficacy and absence of gallbladder stone recurrence. However, there are always complications and surgical risks associated with any surgery, especially bile duct injury due to LC, and the consequences for the patient are often catastrophic. In addition, the incidence of reflux esophagitis and gastroduodenitis, chronic dyspepsia, and diarrhea is significantly higher in some of the postoperative patients, and in the long term it can even lead to a higher incidence of colon cancer. The gallbladder is located under the liver and concentrates, stores and excretes bile mainly through absorption, secretion and peristalsis. Many people think that bile is secreted by the gallbladder, but this is actually a misconception. Let’s make a simple analogy, comparing the human liver to a bile production plant and the gallbladder to a reservoir for bile. Under normal circumstances, the gallbladder not only stores bile, but also finishes it. After the bile secreted by the liver enters the “gallbladder warehouse”, the gallbladder will concentrate it into “essence” and store it, and control the bile secretion according to the body’s needs to help digestion and absorption. However, for those patients who have their gallbladder removed, the gallbladder’s functions of storage, processing and timely release are lost, and the bile produced by the liver flows directly into the intestine to participate in digestion, so digestive function is naturally greatly affected, so persistent diarrhea becomes the most common sequelae after cholecystectomy. In recent years, with the improvement of people’s living standard and health awareness, more and more people have been seeking surgery to preserve the function of gallbladder. Although bile-conserving surgery has many advantages, it is not suitable for everyone, because certain conditions must be met to ensure the smooth performance of the procedure. Suitable groups: 1, age 18-65 years; 2, no serious cardiopulmonary disease, able to tolerate general anesthesia surgery; 3, imaging examination confirms the presence of stones in the gallbladder; 4, the number of stones does not exceed 5, the length diameter of a single stone 0.8-1.5px; 5, no gallbladder cervical duct stones; 6, no gallbladder polyp-like lesions; 7, smooth or slightly hairy gallbladder wall, thickness ≤ 2mm; 8, gallbladder contractile function. Lipid meal test, gallbladder contraction > 50% within 2h after meal; 9, no combined common bile duct stones; 10, liver function indicators are within normal range; 11, no metabolic syndrome and family history, all blood biochemical indicators are normal, BMI index ≤ 25. However, even if these conditions have been met before surgery, the final decision on whether the gallbladder can be preserved or not will have to be made based on the actual situation at the time of surgery. Therefore, we hope that we should not follow blindly whether the gallbladder can be preserved or not, but need to face rationally. In addition, after gallbladder surgery, we should pay attention to the following points: 1, pay attention to dietary conditioning, eat more vitamin-rich foods, such as green leafy vegetables, carrots, etc., eat more fruits; can eat some lean meat, eggs, fish, shrimp and soy products and other high-protein foods, do not eat cholesterol-rich foods, such as animal roe, offal, crab yolk, etc., do not eat high-fat foods such as fatty meat, fried foods and cakes containing a lot of oil, do not eat spicy Stimulating condiments such as chili, do not smoke, do not drink alcohol and coffee. 2, to keep the stool smooth and appropriate consumption of coarse fiber food, to increase intestinal peristalsis to unblock the stool. 3, regular life to do regular living, to ensure adequate sleep, mood; optimism can promote human metabolism, improve the ability to resist disease; bitterness easy depression and anger injury liver, so that the bile duct tension, affecting the secretion and excretion of bile, is not conducive to post-operative physical recovery. 4, adhere to exercise such as walking, qigong, taijiquan, etc., in the disease in the body has a hundred benefits and no harm. One can move the body, circulation of qi and blood, enhance physical fitness, the second can avoid sitting still all day without activity. But we should also pay attention to the combination of work and rest, do not overexert yourself. 5, annual review of gallbladder stones. There is a certain recurrence rate after gallbladder stone extraction surgery, about 2-7%. After the new minimally invasive endoscopic minimally invasive gallbladder stone extraction and polyp removal, patients are recommended to review the ultrasound once a year, if there is recurrence, timely treatment is needed.