People often ask, “My gallbladder stones are very small, is there no problem? Others ask, can I take medicine to drain the stones after they are small? One of the misconceptions in these questions is that the risk of gallbladder stones is the same as the size of the stones. In fact, on the contrary, small stones are more likely to cause cholecystitis, and in severe cases, cholangitis, pancreatitis, and in a few people, acute pancreatitis is even caused by tiny cholesterol crystals that are difficult to detect with the naked eye. The gallbladder is pear-shaped, with a small outlet to the common bile duct, and a spiral mucosal flap inside this tiny outlet. Small stones are more likely to become lodged in the outlet and cause severe cholecystitis. Stones may be displaced by high pressure in the gallbladder into the common bile duct, where the outlet is also narrow, and here the risk of fatalities, such as acute obstructive purulent cholangitis and acute pancreatitis, may occur if they become stuck. Therefore, the risk of lithotripsy treatment is greater than surgical treatment, and cases of asymptomatic elimination of stones after taking lithotripsy drugs are very fortunate. Often some small sediment-like stones cause, acute suppurative cholecystitis cases with small stones and undergo emergency laparoscopic cholecystectomy because of heavy inflammation of the gallbladder. Intraoperatively, small stones are often seen to be embedded in the outlet of the gallbladder with apparent partial necrosis of the gallbladder. It is a more common clinical case.