Today, after a half-day clinic, six consecutive patients came in with ultrasound slips, and without exception, they all had gallbladder stones. The questions were: How did the stones form? Do gallbladder stones need to be treated? What kind of treatment should be used? What are the complications after treatment? In the past, when patients asked me these questions, my mouth was dry with explanations. I think it is better to express them in the form of words, which is popular and easy to understand. Of course, this is only my personal view on the treatment of gallbladder stones, and may also be the mainstream treatment opinion. I welcome your criticism for any inadequacies. About the causes of gallbladder stones, too complex, not a sentence or two can explain clearly, about this research is estimated to write a large book, we do not need to study this, all the research is still mostly hypothesis. Generally speaking, obese people, people in their 40s and younger, and women are easy targets for stones. Here is the point, some patients asked, we both have gallbladder stones, why do you give them the opinion that they can be followed up and observed, but recommend me to do surgery? I will start with the general principles of gallbladder stones that need to be dealt with: first, symptomatic gallbladder stones, such as frequent upper abdominal pain, or with the right side of the back of the shoulder swelling pain (this technical term is called involved pain), and those who have been treated for acute cholecystitis are even more in this range, generally speaking, it patronizes once, there will be a second, third. Second, although there are no symptoms, but the gallbladder atrophy, gallbladder wall thickness of more than 3mm, this time, repeated stimulation of stones, the gallbladder is prone to cancer, then it will invite big trouble. In this case, the gallbladder’s function of storing and concentrating bile is already goodbye to you, and you should say goodbye to him too. Article 4: Patients with stones and polyps, especially those with large polyps, and those with blood flow in the polyps as indicated by ultrasound or CT. The fifth, the gallbladder wall calcification, looks like an eggshell-like. Sixth, although you have no symptoms and are not among the above few, but you have high blood pressure, heart disease, diabetes, please take care of him early in a well-controlled stage, or else when cholecystitis comes, these comorbidities of yours will not be as obedient as usual, and will often be poorly controlled, bringing you a lot of trouble in the follow-up treatment. Here is another topic, what is the treatment for gallbladder stones, minimally invasive cholecystectomy, minimally invasive bile preservation and stone extraction? Personally, I still follow the mainstream view of the national textbook, minimally invasive cholecystectomy, which is less invasive and perfectly competent for day surgery. Of course, some units and individuals advocate biliary lithotomy, and I personally have done a few cases occasionally, all of which were done as a last resort, summarized for no more than these reasons: some families are worried about affecting their children’s search for a date, some patients want to join the military, participate in some special post recruitment, etc. For gallbladder removal surgery, I personally do not evaluate it, but just hope that there is a big clinical control study to prove that he has a place. One last topic, what are the effects of the absence of the gallbladder. Here I will not mention the risks of gallbladder surgery itself, after all, this is something that exists objectively and cannot be 100% guaranteed to be absolutely safe. After cholecystectomy, the majority of patients will experience the same discomfort as every day, some patients will have diarrhea and weight loss, which will basically disappear within a short time. The post-cholecystectomy syndrome, which is characterized by recurrent subxiphoid pain, rarely occurs and is often a problem of the terminal opening of the bile ducts, which is not related to the surgery itself. As for the patient’s greatest fear of being prone to colorectal cancer after cholecystectomy, this is a flux of data, after all, there are so many factors for the development of colorectal cancer. But please remember that more than 80% of gallbladder cancer patients are combined with gallbladder stones. And the prognosis of gallbladder cancer is mostly poor and poor.