Most of the gallbladder polyps are benign, cholesterol polyps are common, adenoma is one of them, but its incidence is very low, only 1.1% of the gallbladder resection specimens, malignant rate is 1.5%, considered pre-cancerous lesions of gallbladder cancer, so gallbladder polyps malignant is rare, clinical concern is easy to the malignant change of polyps, the current detection means are not yet able to determine the nature of polyps, so It appears that the size of gallbladder polyps (currently greater than 1.0 cm in diameter) is used to determine whether surgical treatment should be performed. However, the size of the diameter of the gallbladder polyp alone is a vague and unscientific criterion for determining whether the gallbladder should be removed. Most of the gallbladder polyps are cholesterol polyps, which are benign, and it is unscientific to perform cholecystectomy for benign lesions. For the sake of protecting gallbladder function and avoiding long-term complications after cholecystectomy, cholecystectomy may not be performed for all gallbladder polyps. For cases of gallbladder polyps, the method of “endoscopic minimally invasive biliary polyps removal” is feasible, and the recurrence rate is only 1%. This avoids most benign polyps from suffering the fate of gallbladder removal. This method is based on the pathological nature of gallbladder polyps to decide whether to remove the gallbladder or not, and is considered to be the most reasonable and scientific treatment method in the biliary surgery clinic.