A part of adenomyosis of the gallbladder needs surgery and another part does not, depending on the severity of the disease, as follows: 1. No surgery: If it is a mild case of adenomyosis of the gallbladder, which does not cause abdominal pain, abdominal distension, indigestion, poor emptying of the gallbladder, surgery is not needed, but you need to go to the hospital regularly to review the abdominal ultrasound or abdominal CT. If the disease causes persistent pain in the right upper abdomen or poor gallbladder emptying or gallbladder stones, it is necessary to improve the relevant examination and then perform surgery to remove the stones. The specific treatment plan requires consultation with a competent physician.