Do I have to have gallbladder stones removed? More than 80% of gallbladders with stones lead to cholecystitis and should be treated to prevent acute cholecystitis or other complications such as cholestatic pancreatitis induced by the formation of gallbladder stones. A small number of people may remain asymptomatic throughout their lives. Gallbladder removal for symptomatic gallbladder stones is easily accepted by most people, while gallbladder removal for asymptomatic gallbladder stones is difficult for most people and is chosen to be left untreated. Here, we remind that early cholecystectomy is needed in the presence of diabetes, long-term gallbladder stones, combined gallbladder polyps, porcelain gallbladder, and atrophied gallbladder. If you have diabetes, cardiovascular disease, gallbladder polyps, porcelain gallbladder, or atrophied gallbladder, you should have your gallbladder removed as soon as possible, even if you have no symptoms. Before preparing for your second child, please deal with gallbladder stones first too! The risk of gallbladder stones is related to their size, and small stones may be more likely to lead to serious complications because they are more likely to block the cystic duct or migrate to the common bile duct. You have to be careful even if you don’t have any more gallstones!