Patients with gallstones and gallbladder polyps do not necessarily need to undergo surgery to remove the gallbladder, but only after meeting certain surgical indications will the physician perform surgery to remove the gallbladder. 1. Gallstones are divided into gallbladder stones and biliary tract stones, which have different indications for surgery. (1) Biliary tract stones: Extrahepatic biliary tract stones, especially choledocholithiasis, are a clear indication for surgery, and the treatment is usually laparoscopic cholecystectomy and choledochotomy. Surgical treatment of intrahepatic bile duct stones generally does not involve removal of the gallbladder. (2) Gallbladder stones: Surgical removal of the gallbladder is generally the preferred treatment for gallbladder stones with symptoms and complications. For asymptomatic gallbladder stones, surgical treatment will also be performed if the following conditions are combined: multiple stones with a diameter of 2-3cm; calcification of the cyst wall; porcelain gallbladder; accompanied by polyps with a diameter of ≥1cm; combined with chronic cholecystitis; the surgical method is generally laparoscopic cholecystectomy. 2. Gallbladder polyps: If the patient’s gallbladder polyps appear the following conditions should be surgically removed from the gallbladder: polyp diameter >10mm; polyp progressive enlargement; combined with gallbladder stones or chronic cholecystitis, especially in elderly patients; polyps for single and wide base. In the absence of these conditions, polyps are usually treated with observation. For patients diagnosed with gallstones or gallbladder polyps, they should go to the relevant departments of regular hospitals and be treated under the guidance of specialized physicians, so as to avoid delays and adverse consequences.