Choledochoscope surgery for choledocholithiasis requires anesthesia, mostly general anesthesia. Choledochoscopic surgery for choledochal stones is a common hepato-biliary surgical procedure that involves entering the abdominal cavity, incising the common bile duct, and using a choledochoscope to explore the common bile duct to determine the location and size of the stones and to further remove them. Depending on the patient’s condition, the procedure can be performed laparoscopically or open, but both require anesthesia. Anesthesia not only reduces the pain of the procedure, but also keeps the patient in a quiet and stable state, which creates better conditions for the operator and prevents unnecessary injuries due to movement of the patient’s body. Choledochal stone choledochoscopy surgery often lasts for a long time, and general anesthesia is often used to ensure the effectiveness of the surgery. Before choledochotomy, patients need to be fully evaluated, and it is recommended that they communicate with their treating doctors and anesthesiologists to take appropriate measures to reduce the risk of anesthesia and avoid anesthesia accidents.