1.What kind of gallbladder stones need to be operated. Gallbladder stones that have not attacked at all are also called “quiescent stones” and do not require surgery. If the gallbladder stones have caused pancreatitis or cholangitis, jaundice, it is necessary to operate. If gallbladder stones cause an acute attack of cholecystitis and pus accumulation in the gallbladder, emergency surgery is also required! If frequent attacks of cholecystitis affect the quality of life, it is also an indication for surgery. 2.What is the difference between “laparoscopic cholecystectomy” and cesarean cholecystectomy? Compared with traditional cesarean cholecystectomy, laparoscopic cholecystectomy is less painful, faster recovery, shorter hospital stay, satisfactory results, and similar costs. Patients can eat fluids the night after surgery and can eat a general diet the next day. The majority of patients do not need pain medication after surgery and can be discharged from the hospital 4 days after surgery and can resume normal life and work in about 2 weeks. In addition, the incision of laparoscopic cholecystectomy is small, and the scar is also small, which is much superior to the caesarean operation from the aesthetic point of view. 3. Is “lithotripsy” effective? What are the risks? The use of lithotripsy for gallstones at home and abroad is very risky and the efficacy is not satisfactory, so it has been used less recently. The lithotripsy of the gallbladder is performed by means of the contraction of the gallbladder and the bile duct into the common bile duct, and then by the pressure and bile flow of the common bile duct into the duodenum through the sphincter of Oddi. Even if the lithotripsy is successful, if it is obstructed in the process of stone removal, it can cause a series of complications such as pancreatitis. Therefore, gallbladder stones should not be treated with “lithotripsy”. 4.Will stones grow in the bile duct after gallbladder removal surgery? Because the gallbladder has the function of storing and concentrating bile, so it is easy to grow stones. After the removal of the gallbladder, the common bile duct is connected to the liver and intestine, and bile flows continuously in the bile duct, so it is very unlikely that stones will grow again. 5.Is it very risky for the elderly to have surgery? Is it possible to do it? If an elderly person has gallbladder stones and needs surgery, they should be treated aggressively if they do not have a serious medical condition and if the doctor thinks they should be able to tolerate the surgery. Many elderly people often have hypertension, cardiopulmonary insufficiency, diabetes, hyperlipidemia and other diseases, and the body’s resistance to disease is lower.