Whether it is gallbladder stones or polyps, the anatomy of the gallbladder is diseased and its function is impaired. Patients who meet the strict indications for biliary stone extraction do not actually need to undergo surgery. Expanded indications for biliary stone extraction are expected to increase the recurrence rate of the lesion and make it more difficult to manage later. Long-term chronic disease changes are inconvenient and costly to live with. The issue of gallbladder cancer is something that patients with gallbladder preservation must consider.