Gallbladder polyp is a common clinical term, but in fact it should be called “gallbladder polypoid lesion”, which is a term that affects diagnostics, not the clinical diagnosis of the disease. ”Gallbladder polyps” include cholesterol polyps, adenomatous polyps, and inflammatory polyps, among which adenomatous polyps are regarded as precancerous lesions and are difficult to identify clinically before surgery. Cholecystectomy is the treatment of choice for polypoid lesions of the gallbladder. But doesn’t every patient with gallbladder polypoid lesions need surgery? The answer is obviously no. Generally, only those with clinical symptoms or those suspected of malignancy or potential malignancy require surgery. The clinical indications for surgery of “gallbladder polyps” are: 1, combined with gallbladder stones, cholecystitis, and have obvious symptoms. 2.Single polyp with size above 10mm or located in the neck of gallbladder. 3.Multiple polyps with size around 5mm without clinical symptoms do not need surgery, and are followed up by clinical observation ultrasound (recommended for about 3 months), or treated with herbal medicine. 4.Asymptomatic solitary polyps with size below 10mm should be followed up by ultrasound regularly (recommended about 3 months), and if the lesion increases, surgery should be performed. During the observation period, Chinese herbal medicine can be taken for treatment.