Gallbladder stones do not usually cause back pain. Abdominal pain caused by gallbladder stones is mainly located in the right upper abdomen, which is where the body of the gallbladder is projected, and the pain can be either vague or pinprick-like. Biliary colic is possible when inflammation of the gallbladder stones is evident or when stone impaction occurs. Gallbladder stones may also present with nerve involvement pain, mainly in the back of the right shoulder. The main acute abdominal disease that causes low back pain is acute pancreatitis, which is closely related to the location of the pancreas, and when the inflammation involves the whole pancreas, it may also present as lumbar girdle-like pain. Patients with pancreatic cancer may also present with low back pain, which is caused by the invasion of the retroperitoneal plexus by the lesion. If a patient with gallbladder stones causes low back pain, it is most likely not due to gallbladder stones. The patient may have a past history of lumbar disc herniation. However, it should be noted that if a patient with gallbladder stones develops low back pain, it is important to be vigilant for the possibility of biliary pancreatitis, and further pancreatic CT and amylase tests should be performed in order to avoid missed diagnosis and misdiagnosis, which can lead to serious consequences.