Recently, when I was sitting in the outpatient clinic, I met several worried patients in a row, all of whom had just finished their annual physical examination and were found to have gallbladder polyps. So the original easy life changed, everyone showed different degrees of worry and nervousness, and some even offered to remove the gallbladder. So, are gallbladder polyps really that scary? It seems that I need to give everyone a sweep of this blind. With the popularity of ultrasound technology and the enhancement of national health awareness, routine abdominal ultrasound physical examination has been accepted by more and more people, so the detection rate of gallbladder polyp-like lesions is getting higher and higher. The ultrasound physicians usually write the polyp-like lesions found as gallbladder polyps when they make the diagnosis. In fact, polypoid lesions consist of two distinct parts: tumor-like polyps and non-tumor-like polyps. The former is a real polyp in the gallbladder, which is essentially an abnormal proliferation of the glands and muscles of the gallbladder itself, which is a tumor of the gallbladder. The latter is mainly due to the dysfunction and disorder of liver clearance causing cholesterol accumulation and crystals, chronic inflammation of the gallbladder causing inflammatory hyperplasia, and other hyperplastic lesions caused by abnormal changes in the gallbladder and bile, and this part accounts for the vast majority of all gallbladder polyp-like lesions. Ultrasound is easy to detect gallbladder polyp-like lesions, but it is often difficult to characterize them, and the clinical differential diagnosis of their benign and malignant nature is also difficult. However, not all gallbladder polyps require surgical treatment. Generally, for single lesions with a large head (diameter greater than 10 mm) and a large polyp root, these polyps have a higher rate of malignancy, and early removal of the gallbladder can prevent future problems. If the ultrasound and CT examinations already suggest that the lesion has a rich blood supply and is highly suspected to be a malignant polyp, it should be operated as soon as possible. In case of multiple small polyps with gallbladder stones and frequent abdominal pain, and if I am older, surgery is the first treatment we recommend from the point of view of improving quality of life and preventing cancer. For other polyp-like lesions, there is no symptom, you can take a regular observation plan, such as an ultrasound examination in 3-6 months, which is not too stressful. If during the review, the polyps show a significant change in performance, then surgery is the treatment of choice. In conclusion, gallbladder polyp is not a terrible disease, and the chance of finding gallbladder cancer in gallbladder polyp is very small. We should have a proper understanding of this disease and take appropriate measures for different situations, of course, it is necessary to go to regular hospitals to improve the examination.