Not all gallstones require surgery. The need for surgery is usually determined by the age of the patient, the presence or absence of clinical symptoms, the size and number of stones, and the presence or absence of concomitant inflammation of the gallbladder. For children with gallstones and adults without clinical symptoms, surgery is usually not recommended, but regular observation and follow-up can be done to monitor changes in the condition of the gallstones. Cholecystectomy should be considered for gallstones with any of the above indications, such as a large number of gallstones ≥2 cm in diameter; calcification of the gallbladder wall or porcelain gallbladder on ultrasonography; gallstones accompanied by >1 cm of gallbladder polyps; and gallbladder wall >3 mm (which is often indicative of accompanying chronic cholecystitis). After finding gallstones, the best treatment plan should be formulated under the guidance of a physician, and the patient should undergo regular checkups or undergo surgical treatment.