Many people with gallbladder stones do not have any clinical symptoms, so is it always necessary to have surgery to remove the gallbladder? This is a concern for many outpatients who are both fearful of surgery and worried about the day when complications arise. According to the Chinese Medical Association Biliary Group and our clinical experience, a patient with gallbladder stones who meets one of the following conditions has an indication for surgery, which means that the doctor will recommend surgical removal of the gallbladder Patients over 50 years of age, or have been found to have gallbladder stones for more than 5 years. It is associated with prolonged irritation of the gallbladder mucosa by stones that can lead to gallbladder cancer. Combined with diabetes mellitus:For diabetic patients once the acute attack of cholecystitis occurs, the chance of successful conservative treatment is very small and the disease progresses rapidly with a much higher rate of gallbladder gangrene and perforation than in the general population. Patients with stones larger than 2 cm:Closely related to cancer of the gallbladder. Porcelain gallbladder:Closely related to cancer of gallbladder. Filled gallbladder stones:Because the gallbladder is no longer functional even without removal of the gallbladder. Atrophic gallbladder:Atrophic gallbladder is not only non-functional, but also prone to secondary gallbladder cancer. Although there are risks associated with gallbladder removal surgery, a gallbladder that meets the above conditions will bring you greater risks, so you are cautioned to consider it carefully.