Talking about surgical treatment of gallbladder polypoid lesions Polypoid lesions of the gallbladder (PLG) are generally referred to as limited elevated lesions of the gallbladder mucosa, so they are also called gallbladder augmentation lesions. The former can be divided into non-neoplastic lesions (e.g. cholesterol polyps) and neoplastic lesions (e.g. simple adenoma, papillary adenoma, adenomyoma); the latter are mostly polypoid early gallbladder tumors. According to the statistics, non-neoplastic lesions account for more than 50% of patients with PLC, and most patients are clinically asymptomatic or have mild symptoms and good gallbladder function, so theoretically they do not necessarily need surgical treatment, but only regular (3-6 months) follow-up observation. Neoplastic lesions account for about 40% of patients with PLC. Adenomas have been recognized as precancerous lesions with a cancer rate of about 10%, and adenomyosis and adenomyoma have been reported to be potentially cancerous. These lesions are of various types, but they require elective prophylactic cholecystectomy either because of the potential risk of cancer or because they are prone to clinical symptoms (such as epigastric fullness, vague pain, dyspepsia, loss of appetite, nausea, etc.) and have a definite surgical outcome. Polyps type early gallbladder cancer, accounting for about 10%. At present, we mainly rely on ultrasound combined with clinical factors for differential diagnosis to screen out malignant lesions mixed in the PLC. Such as the number, size and location of lesions, the patient’s age and the presence or absence of stones and other cancerous factors to determine. Please note that any polyp-like lesions found in the gallbladder, regardless of clinical symptoms, should be followed up by regular ultrasound examinations in hospitals, such as: (1) polyps >10mm in diameter living in the neck of the gallbladder; (2) polyps with a wide base and solitary; (3) age >50 years; (4) combined with gallbladder stones. They should be treated surgically. A diameter >1.5 mm should be considered as an absolute indication for surgical treatment