This elderly female patient was treated with repeated surgical procedures for bile duct stones in a foreign country, which eventually led to biliary stenosis and recurrent episodes of acute cholangitis. Several major hospitals in the area and in Beijing advised the patient to undergo surgery again, but the possibility of re-stenosis still existed after surgery, and the patient had developed a significant fear of surgery and wanted to solve the problem by minimally invasive means. The red arrow is the site of the biliary stricture, which shows a marked narrowing of the upper bile duct to the porta hepatis, while there is a mild dilatation of the intrahepatic bile duct. A guide wire was left in both the right and left hepatic ducts, but the stricture was indeed so severe that even the thinnest dilatation probe (6F) could not pass through, so a drill was used to drill this stricture. With good luck, the stenosis was passed and the patient had mild but tolerable pain. Ultimately, plastic stents were placed in both the right and left hepatic ducts so that after about 3 months of dilation and another stent replacement, there would be a good chance of complete removal of the stone above the biliary stricture so that the patient could avoid another surgical procedure. Remedies can be provided for such post-surgical bile duct strictures, although multiple stent placements are required for gradual dilation.