In the past 20 years, minimally invasive surgical techniques have developed rapidly with the rapid advances in medical image processing technology and surgical operating instruments. In the early days, laparoscopy was used only to enter the abdominal cavity to observe the abdomen and to assist in the diagnosis of diseases, but nowadays it is able to perform various large and medium-sized surgeries such as gastrointestinal, hepatobiliary, pancreatic and spleen surgeries, and even the introduction of surgical robotic surgery, making surgery today enter the era of minimally invasive surgery. Due to the popularization and promotion of surgical techniques, even lay people who do not have medical knowledge know a little about it, and some are even familiar with it. For many surgeries, such as the most common gallbladder surgery, most patients can have their gallbladder removed by making only three to four 0.5-1.0 cm incisions in the abdomen, one of which is in the navel. After the surgery, you can usually move around the same day and be discharged from the hospital in 2 to 3 days. Now there is also a single hole of about 2 cm in the umbilicus to complete the gallbladder removal surgery, which is not only less traumatic but also has no scars, and has become a scarless surgery with cosmetic significance. Shi Baomin of the Department of Hepatobiliary Surgery of Shanghai Tongji Hospital often encounters such patients who have gallbladder stones complicated by cholecystitis and have been having recurrent attacks for many years, and come to ask for cholecystectomy, saying by name “hole drilling” and only hole drilling, not surgery. It seems that drilling is not surgery, and they think it is safe and painless, and they can do it anytime, and some of them even request to finish it in the outpatient clinic. But in fact, most people have the misconception that “cavity surgery” is of course surgery. The steps of the intra-abdominal surgery are the same as the traditional open surgery, both are complete removal of the gallbladder; anesthesia is also the same general anesthesia, but the abdominal wall incision has become smaller, the pain after surgery has become smaller, and the scars are significantly smaller or even invisible. And all types of injuries and complications of intra-abdominal surgery, accidents and risks of anesthesia, are the same. However, there is another risk of laparoscopic surgery, which is that when doing the surgery, in order to make space in the abdominal cavity and facilitate the operation, it is necessary to pump gas, usually carbon dioxide, into the abdominal cavity with a pressure of 12 to 15 mmHg in order to operate. This situation has minimal impact on people with normal cardiopulmonary function, but if there is cardiovascular disease, pulmonary insufficiency, etc., the high pressure of intra-abdominal gas will have a greater impact on the systemic cardiovascular circulatory system, easily forming carbon dioxide accumulation, gas embolism, etc., which is more prone to cardiovascular and cerebrovascular accidents, which are sometimes fatal once they occur. Cholecystectomy is also a medium-sized surgery in terms of its overall impact on the human body. Cholecystectomy also has certain risks, such as particularly obvious inflammation, serious surrounding adhesions, unclear anatomical levels, and too tight adhesions to adjacent organs such as the gastroduodenum, bile ducts, and colon that are not easily separated, often leading to damage to the corresponding organs. After surgery, there are also complications such as bile leak and stenosis after bile duct injury. In other cases, due to septic necrosis of the gallbladder, only major resection can be done, too much gallbladder remains to become a small gallbladder, residual stones in the gallbladder duct, biliary stone preservation or polypectomy is done, etc. If the symptoms are more severe, secondary surgery is also needed to remove them, and secondary surgery is often more difficult under lumpectomy, and sometimes open surgery is needed to complete it. Therefore, drilling is also surgery, and with surgery comes risk, although in the vast majority of cases it is safe and feasible. The inflammatory gallbladder, i.e., the abnormal gallbladder, generally has little effect on the body after excision, and most patients are able to return to normal work and life after surgery. In addition, the size of surgery is relative according to the damage caused to the body, the speed of recovery, etc. There is a medical classification of surgery, but there is no absolute definition and classification of small, medium and large surgery, the so-called small surgery can be life-threatening if there are accidents or complications. In the past, it has been reported that an anesthesia accident occurred and death occurred from the removal of an external hemorrhoid. So medicine is a relative science, there are no absolutes, there is never a hundred percent. Doctors will always be based on past successes and failures to face a perhaps brand new patient, although in most cases can be partly predictable and control the condition, but also often face the helplessness and dilemma of being unable to return, no cure, and this situation will always exist, because this is due to the limitations of human understanding of self and understanding of the world.