In the hepatobiliary surgery clinic, one of the most common diseases is gallbladder stones. The most frequently asked question is: Doctor, is it time for me to have surgery? This is a question of great concern to many patients with gallbladder stones, but in fact, patients with gallbladder stones do not necessarily need surgery. The first thing to be clear is that gallbladder stones are benign disease and it is difficult to detect asymptomatic gallbladder stones without ultrasound examination. The reason why the incidence of gallbladder stones is felt to be high now is that many asymptomatic gallbladder stones are found on physical examination. And these patients with asymptomatic gallbladder stones are not necessary for surgical treatment. Of course, these patients should be reviewed regularly. Patients with gallbladder stones have more than 7 times higher risk of gallbladder cancer than those with cholecystitis without gallbladder stones, and if cancer cannot be excluded, surgery should still be considered. If the gallbladder stones affect the patient’s normal life, surgery should be considered. Because everyone has a different understanding of life, some patients can have a low-fat diet, insist on oral medication, and tolerate general pain better, so surgery will not be considered first; some patients feel that a controlled diet is unacceptable, so surgery must be done beforehand. If gallbladder stones are combined with cholecystitis, biliary pancreatitis pancreatitis, etc., surgery is definitely necessary. The size of the stone is not directly related to whether or not to operate, and many patients may think that the larger the gallbladder stone is, the more they should operate. In fact, really large stones to not easily cause symptoms, but long-term may induce malignant transformation; even small stones may have obvious symptoms, mud-like stones can also cause biliary pancreatitis, biliary ductitis. As for the impact of gallbladder removal, I think it is better not to be too concerned. Because it is most important to grasp the indications for surgery, and if surgery is necessary, even if there are further effects, they must be borne. If it is not necessary, even if the damage is not great, the surgery will not be considered. It should be said that most patients basically recover 3-6 months after surgery, including diet, living habits, bowel movements, etc.