How to deal with 30 years of gallbladder polyps should be analyzed in conjunction with the patient’s specific situation, generally smaller benign polyps do not need to be dealt with, larger polyps or polyps with a tendency to malignant changes need to be operated on as soon as possible. 1. Small polyps and long-term no change: if the patient 30 years of regular review, the polyp is small, and the size of no significant changes, generally do not need to be dealt with, continue to carry out regular review and observation can be; 2. Larger polyps, diameter ≥ 1cm or the existence of potential malignant tendency: if the patient’s polyps gradually become larger, ≥ 1cm or repeated review found that the polyps develop faster, infiltrative growth, the probability of malignant change is greater, then timely surgical treatment is required, such as laparoscopic surgery to remove the gallbladder. How to treat the patient’s condition should be judged by the doctor in conjunction with the patient’s physical condition, and it is recommended that the patient actively cooperate.