Do gallbladder stones always require surgery?

Gallbladder stones do not always require surgery. For patients with small stones and no other symptoms or complications, surgery is usually not needed and regular follow-up is sufficient; for large stones and other symptoms or complications, surgery is needed.
For patients with small stones and no obvious symptoms, surgical intervention is usually not needed and regular follow-up every 6 months is sufficient.
For patients with a large number of stones and a stone diameter of ≥2 cm, or with calcification of the gallbladder wall, porcelain gallbladder, gallbladder polyps >1 cm or gallbladder wall thickening >3 mm, epigastric pain, biliary colic, jaundice, and recurrent cholecystitis episodes, timely surgical intervention is required, and laparoscopic cholecystectomy is the most common clinical practice at present.
Due to individual differences, the specific treatment measures should be decided by the attending physician, and it is recommended that the patient improve the examination and actively cooperate with the doctor’s treatment.