Gallstones of 2 centimeters require cholecystectomy, and biliary lithotripsy is no longer recommended. Gallstones with a diameter of 2 centimeters already meet the criteria for cholecystectomy and laparoscopic cholecystectomy is recommended. Some patients with poor condition may even have acute abdominal pain, high fever, chills and jaundice when the gallstones are 2 cm in diameter, which may cause biliary hemorrhage when the condition is serious, and these cases should be treated with cholecystectomy as soon as possible. Currently, cholecystectomy is no longer recommended due to the high recurrence rate of stones, aggravation of gallbladder inflammation, and increased chance of cancer. If gallstones of 2 cm are detected, you should consult a doctor promptly and take the best treatment measures to control the progress of the disease under the guidance of a medical professional.