The so-called “gallbladder polyps” are actually a group of gallbladder diseases that contain many different pathological states. Although the majority of gallbladder polyps are benign, the papillary and nodular forms of early gallbladder cancer are similar to gallbladder polyps, and adenomatous polyps do have a tendency to become cancerous, both of which are the main reasons for surgery on gallbladder polyps. Most gallbladder polyps are cholesterol polyps, and cholesterol polyps are benign lesions. There is no unanimous standard for what kind of gallbladder polyp-like lesions should be treated surgically so far, we suggest that “gallbladder polyps” should be treated according to the following principles: (1) No clinical symptoms, and the diameter is less than 5mm, no treatment is needed (2) No clinical symptoms, but the diameter is between 5mm and 10mm, then ultrasound should be used every 6 -(3) For those with biliary symptoms or stones, surgery should be performed regardless of the size of the polyp (4) Polyps larger than 10 mm in diameter should be operated with or without stones (5) Those with irregular thickening of the gallbladder wall should be operated (6) Those with loss of gallbladder function or gallbladder malfunction should be operated (7) All polyps without a tip or (7) All polyp-like lesions of the gallbladder without a tip or with a basal width greater than 10 mm should be operated.