Hepatobiliary stones usually cannot be expelled on their own, and the effect of medication is usually not satisfactory and may not be able to eradicate the stones, so surgery is usually required to expel the stones. Common surgical treatments include laparoscopic choledochotomy, biliary ductotomy, hepatectomy, bile duct intestinal anastomosis and choledochoplasty. In addition, if the stones are small, no obvious symptoms, not causing cholangitis, liver destruction and malignant transformation, they can also be regularly observed and conservatively treated without insisting on expelling the stones.1. Laparoscopic choledochotomy and lithotripsy: widely used for hepatobiliary stones, which is a minimally invasive procedure for the treatment of biliary stones, there are two surgical methods, one is to establish a poking hole in the abdomen and implant an instrument to open the common bile duct and remove the stones; another way is to examine through choledochoscope and guide to remove the stones; 2. Biliary duct excision and stone extraction: if the patient does not have hepatobiliary duct stenosis or liver tissue atrophy, it is feasible to surgically excise the hepatobiliary duct and directly remove the stones, after the stones are removed, a T-tube should also be placed for bile drainage; 3. Liver resection: if the patient has many hepatobiliary stones, obvious stenosis of the hepatobiliary duct or liver tissue atrophy, liver resection to remove the lesions and prevent recurrence of stones; 4, bile duct intestinal anastomosis: for patients with hepatobiliary stenosis, bile duct intestinal anastomosis can be used to reconstruct the channel and release the stenosis, thus promoting the discharge of hepatobiliary stones; 5, bile duct plastic surgery: if the stenosis of the hepatobiliary duct is large, the wall of the stenosis is thick and there are many hyperplasia or scars, and it is easier to form stenosis again in the future, bile duct plastic surgery is feasible, usually combined with bile intestinal This procedure is usually combined with bile-intestinal anastomosis. In the short term, after the hepatic bile duct stones are discharged, attention should be paid to maintaining a low-fat diet and eating less high-cholesterol foods.