The common causes of throbbing pain at both ribs after gallbladder removal include intercostal neuralgia, costochondritis, and residual stones in the common bile duct. 1. Intercostal neuralgia: after gallbladder removal, local inflammatory reaction occurs, which stimulates one or more intercostal nerves, and paroxysmal pain in the ribs can occur. 2. Costochondritis: cholecystectomy can cause damage to the costal cartilage connecting the sternum and the ribs, resulting in non-specific costochondritis, which can be manifested as a dull pain or hidden pain, and the pain can be aggravated when breathing. 3. Residual stones in the common bile duct: after gallbladder removal, some stones may remain in the common bile duct. When the common bile duct is not completely blocked, it may manifest as mild discomfort in the subxiphoid process and epigastric region, and thus may be felt as a throbbing pain in the ribs on both sides. After the removal of the gallbladder, the throbbing pain on both sides of the ribs may also have other causes, it is recommended to go to the hospital in time, improve the examination to clarify the cause of the disease, and then give targeted treatment or treatment.