Whether patients with gallstones accompanied by chronic cholecystitis need surgery is related to the severity of the disease, and the details are analyzed as follows: 1. If cholecystitis frequently recurs and seriously affects the patient’s life and work, surgery can be considered. 2. If the patient does not have a clear history of cholecystitis attacks, and the thickening of the gallbladder wall is not obvious and the clinical symptoms are not serious, surgical treatment can be postponed. In general, patients should pay attention to their diet and eat less spicy, stimulating and greasy food. 3. If the patient does not have a clear history of cholecystitis, but the possibility of gallbladder tumor cannot be excluded with other clinical symptoms, surgical treatment should be considered, and the tissues should be sent to pathology for further diagnosis after surgery. To sum up, not all patients with gallstones and chronic cholecystitis need to undergo surgery, and each case should be analyzed on its own merits.