The following two items need to be kept in mind First: laparoscopic cholecystectomy is already the preferred surgical procedure for cholecystectomy, and laparoscopic surgery is preferred whenever available. Secondly, unlike urinary stones, gallbladder and biliary tract stones are generally not treated by de-stoning, otherwise they are prone to formation of impaction, which leads to acute gallstone attack and emergency surgery. Not all gallbladder stones require surgery. Briefly speaking, there are roughly 3 types of gallbladder stones that require surgery: 1) gallbladder stones with obvious clinical symptoms; 2) asymptomatic simple gallbladder stones, but the following conditions occur: ① ceramic gallbladder (i.e., highly thickened gallbladder wall, non-functional gallbladder) because of its gallbladder cancer incidence rate of up to 25%; ② gallbladder stones over 2 cm, because stones larger than 2 cm patients with gallbladder stones, the incidence of gallbladder cancer is significantly higher; ③ asymptomatic gallbladder stones combined with gallbladder polyps; 3, diabetic patients combined with gallbladder stones; 4, chronic cholecystitis and acute attack of stones, after treatment of symptoms and signs remission 1 to 2 weeks, active surgery; 5, chronic cholecystitis and acute attack of stones, after treatment of symptoms and signs do not remission, the gallbladder wall is prone to necrosis, or even gallbladder perforation to form peritonitis, should be operated as soon as possible, more than 24 hours should not be laparoscopic surgery. 6, biliary pancreatitis: that is, pancreatitis caused by bile duct stones; or patients with acute pancreatitis, clinical consideration of bile duct stones is one of the aggravating factors of pancreatitis.