Surgery for acute cholecystitis should be chosen as much as possible after the clinical symptoms and inflammatory reaction have been controlled, such as the combination of serious complications or the onset of a relatively short period of time, it is difficult to control the symptoms by conservative treatment, can be considered immediately emergency surgery. Acute cholecystitis due to the inflammatory response, there may be mucosal congestion, edema, surgical wounds at this time there is often more bleeding and oozing, so usually given fasting, fluids, the application of antibacterial drugs, antispasmodic and analgesic and other symptomatic treatment, to be controlled when the patient’s clinical symptoms (abdominal pain, fever, etc.) to be surgical treatment. If the onset of the disease within 2-3 days, or after symptomatic treatment of symptoms are not relieved, combined with gallbladder perforation, diffuse peritonitis, acute necrotizing pancreatitis, acute suppurative cholangitis and other serious complications, emergency surgery should be performed immediately. Acute cholecystitis should be actively treated once diagnosed to avoid aggravation of the condition and adverse consequences.