For different patients with gallstones, weighing the pros and cons and choosing the correct surgical method is the key to whether the patient can benefit. If the gallbladder contraction test is performed, and the gallbladder contraction is more than 50%, it proves that the gallbladder is functional, so biliary preservation can be chosen, otherwise it proves that the gallbladder is no longer functional and cannot be preserved, and the reluctance to preserve the gallbladder will inevitably lead to recurrence of stones. If the combination of the following conditions, it is recommended to remove the gallbladder: ① limited thickening of the gallbladder wall, gallbladder cancer has not been ruled out; ② gallbladder tumor polyps; ③ pathology suggests that severe atypical hyperplasia, or has been proved to be cancerous; ④ atrophic cholecystitis; ⑤ ceramic gallbladder; ⑥ gallbladder stones induced acute purulent or gangrenous cholecystitis; ⑦ acute pancreatitis or other serious complications; ⑧ obstruction of the cystic duct or the common bile duct, and can not be immediately Obstruction of the bile duct or common bile duct, which cannot be relieved immediately; ⑨ Patients after gastric resection and gastrojejunostomy; ⑩ Patients with diabetes mellitus with unsatisfactory treatment results. Doctor’s tip: Although biliary surgery has many advantages, it should be carried out within the scope of the indications for surgery. When it is not suitable for biliary surgery, blindly expand the indications for surgery, but will bring greater losses to the patient.