The treatment of pediatric gallstones is as follows: 1. Biliary stone extraction: Biliary stone extraction is performed under minimally invasive conditions, that is, gallstones are removed and the gallbladder is preserved. For pediatric gallstones with unknown causes, secondary biliary stone extraction treatment can be performed. 2. Treatment of the primary disease: For pediatric gallstones with clear causes, it is recommended to actively treat the primary disease, if it is caused by the destruction of red blood cells by the spleen, the spleen can be treated.