Gallbladder polyp lesions are not uncommon clinically, and surgery is the radical cure, but not all gallbladder polyps require surgical treatment. Because of the different types of lesions, sizes and disease regression, the indications for surgery are not consistent. Timing of surgery: Gallbladder polyp-like lesions are sometimes difficult to characterize preoperatively. According to the high risk factors for malignant transformation of gallbladder polyp-like lesions, we propose the following surgical indications: 1, single lesion, larger than 10 mm, with a thick tip, especially if located in the neck of the gallbladder and older than 50 years of age. 2.Multiple lesions with gallbladder stones, symptomatic, age > 50 years. 3.Single lesion, less than 10mm, asymptomatic, age less than 50 years old, allowed to observe and follow up; lesion enlargement or morphological changes should be treated surgically. 4.Doppler ultrasound examination of the lesion with rich blood supply suggests malignant neoplasm. 5, CEA (tumor marker), the measured value is significantly elevated and except for other gastrointestinal tumors. 6.Gallbladder polyp-like lesions with obvious symptoms and recurrence. 7.Asymptomatic patients with diameter less than 5 mm should be followed up at intervals of 3 to 5 months. Once the lesion is enlarged or symptomatic, surgery should be performed. The current understanding is that most of the polyps are cholesterol polyps, which rarely grow to more than 1 cm and are not cancerous. Only true polyps may grow to more than 1 cm, and there are almost no reports of carcinoma below 1 cm. Therefore, the safe strategy is to follow up below 1 cm and to operate above 1 cm. Currently, laparoscopic cholecystectomy is the gold standard of surgical treatment for cholecystectomy.