Heart Failure Grade II can have the gallbladder removed minimally invasively. Heart Failure Grade II is generally defined as being able to tolerate light physical activity such as walking, in which minimally invasive surgery to remove the gallbladder is still relatively safe. Grade 1 heart failure means that there is no problem in daily activities and no symptoms of chest tightness and breathlessness; Grade 2 heart failure means that you can tolerate light physical activities such as walking; Grade 3 heart failure means that you can’t tolerate light activities, and you will experience chest tightness, shortness of breath and other discomforts when you are walking or doing dishes; Grade 4 heart failure means that you will experience chest tightness and other symptoms of cardiac insufficiency when you are at rest. Therefore, grade 2 heart failure is generally able to tolerate minimally invasive cholecystectomy. If symptoms such as chest tightness and telangiectasia occur, treatment for heart failure is needed, and surgery can be performed when recovery has reached a certain level. Heart failure patients who want to undergo surgery should consult their doctors beforehand and choose the right time to undergo surgery under their doctors’ advice.