In the traditional concept, the preferred treatment for gallbladder stones and gallbladder polyps is cholecystectomy, however, with the rapid development of medicine, the application of endoscopic technology in the field of surgery is becoming more and more mature, and some new ideas and perspectives are gradually replacing the old ideas and perspectives. The new endoscopic minimally invasive cholecystectomy eliminates the drawbacks of indirect bedside ultrasound positioning and large incision, accurately selects the best location for the smallest incision under direct laparoscopic view, quickly puts forward the gallbladder, and uses “combined biliary soft and hard microscope to remove the stone”, using only the matching mesh basket and biopsy forceps to remove the stone. The “bile stone extraction” is a breakthrough in the use of combined biliary soft and hard scopes. At the same time, during the process of using biliary rigidoscopy, we found submucosal stones for the first time with the advantages of high magnification and clear image, and removed them completely using our six core technologies and patented techniques, and the mucosa of the gallbladder was “renewed”. Moreover, with the maturity of surgical technology and the change of concept, gallbladder neck stones, intrahepatic bile duct stones and gallbladder polyps are no longer contraindications to biliary surgery. The main significance of the new concept of biliary surgery is to remove the stones and polyps and maintain the balance and physiological function of the normal human body as a whole. The surgery is performed in the morning, and in the afternoon, and the diet is resumed; because of the fast recovery, the patient can be discharged on the next day of surgery, so the hospitalization cost is low and popular. In addition, this surgery has no serious complications and no mortality. After more than ten years of follow-up of thousands of patients after surgery, the recurrence rate of stones is only 2% to 7%. These are incomparable to any cholecystectomy surgery, which is one of the most important concerns of patients. However, in those cases where the gallbladder is no longer functional, the gallbladder is atrophied, and the gallbladder is cancerous the gallbladder should be removed without hesitation. To sum up, the new endoscopic minimally invasive gallbladder preservation technology not only preserves the gallbladder, but also completely removes the stones and gallbladder polyps in the gallbladder cavity and under the mucosa, which will surely create a new era in the treatment of gallbladder stones and gallbladder polyps!