Patient: Gallstones were discovered more than 10 years ago and are now frequent. Every night after the second half of the night the pain is mainly in the scapula. Ultrasound findings: gallbladder 10.0 by 2.4cm, wall not thick, not much tension, 1.6cm by 1.1cm strong echogenic mass with posterior acoustic shadow detected in the cavity, another 1.0cm curved strong echogenic mass with posterior hemithorax detected in the neck, no movement in rotating position, no significant dilatation of intrahepatic bile duct, 0.5cm inner diameter of extrahepatic bile duct. The pancreatic, spleen and kidney are all normal. The infusion for 3 days is not very effective. I would like to ask: Is it possible to preserve the gallbladder with surgery? Should my case be treated conservatively or surgically? How many days will it take to be discharged from the hospital and how long will it take to recover if treated surgically? How should conservative treatment be treated? Surgery should remove the gallbladder for the simple reason that if the gallbladder is preserved, stones will soon grow again. Surgical treatment takes about a week from hospitalization to discharge. There is no good way to treat conservatively because there is no acute inflammation, so fluids are not very helpful. The main thing is to pay attention to the diet and less oil to reduce the chance of acute inflammation. Patient: What will be the effect on my body after removal of the gallbladder? I have heard that there is also a possibility of stones growing in the gallbladder duct, what are the chances of that? What do I need to take care of after gallbladder removal? There may be an increase in the number of bowel movements for a short period of time after removal of the gallbladder, but this usually recovers after a week and other effects are rare. There are two cases regarding bile duct stones after cholecystectomy, one is actually a primary bile duct stone that was not detected before surgery, and the other can be due to surgical operation. Patient: I am hesitant to do the surgery or not. I was advised to go for laser lithotripsy, what will happen with laser lithotripsy? Laser lithotripsy is not recommended. Lithotripsy can cause acute septic cholangitis and acute pancreatitis, both life-threatening, if it is discharged through the common bile duct.