Recently, there are many gallstone patients in the clinic and on the Internet who are inquiring about biliary stone extraction. Although I have given detailed explanations and answers, many patients are still hesitant to choose. After all, in front of the doctor, the patient is a layman, they are weak, as a doctor need to explain the problem clearly. With the development of endoscopic technology and the concept of minimally invasive. Biliary stone extraction has become a popular surgical procedure. The reasons are as follows: 1. The gallbladder is an important organ in the human body, and the maximum preservation of organ function is the real minimally invasive. 2, Safe and painless, little trauma, no scars. 3.Good effect and fast recovery: Generally, you can get out of bed in 6-8 hours after surgery, and you can get out of bed in 1.5 hours at the earliest, and you can eat fluid juice in the days after surgery. After two days of appropriate infusion and anti-inflammatory treatment, the patient can be discharged from the hospital 3 to 4 days after surgery. The reasons for their opposition to cholecystectomy are as follows: 1. The gallbladder has complex and important functions and is an indispensable and irreplaceable important digestive and immune organ. 2, complications of cholecystectomy: postoperative dyspepsia and reflux gastritis; bile duct injury due to surgery; increased incidence of common bile duct stones after cholecystectomy, etc. Despite this, cholecystectomy has not become the standard procedure for gallbladder stones and has been questioned by some scholars. It has not become a widely performed procedure in large tertiary hospitals in China. Why is this? 1. The gallbladder is an important organ that plays an important role in concentrating bile, contracting and regulating the pressure of the buffered bile duct, and improving the physical properties of bile. However, after bile preservation and stone extraction does not fundamentally change the cause of stone formation, and the recurrence rate of gallstones is high. 2.With the wide development and popularity of lumpectomy technology, laparoscopic cholecystectomy has become the gold standard surgery for gallbladder removal. The risks and complications of surgery have been greatly reduced. 3, Patients with gallbladder stones are often combined with chronic cholecystitis or gallbladder polyps, and the inflammation will recur after gallbladder stone removal, causing long-term pain to patients. 4. Long-term inflammatory stimulation and polyp formation may also lead to gallbladder carcinoma, which has a very poor prognosis and often has no chance of surgery once diagnosed. To sum up: gallstone disease – gallbladder removal OR gallbladder preservation. Nothing is a castle in the air, what exists is reasonable, and we should choose the dialectical science for the treatment of the disease. The indications for gallbladder preservation surgery are: (1) Patients with a strong desire to preserve gallbladder, young age, no history of inflammatory episodes. (2) Imaging examination: smooth gallbladder mucosa, non-thick cyst wall and good gallbladder filling after ultrasound and MRCP examination. (3) Stones are solitary and gallbladder function should be good. (This can be confirmed intraoperatively). For recurrent gallbladder inflammation, multiple mud-like stones in the gallbladder, gallbladder atrophy, non-functional gallbladder, combined gallbladder polyps, especially multiple polyps in the gallbladder or polyps more than 1 cm suspicious of cancer, the gallbladder should be removed without hesitation to remove the lesion. Gallbladder can really have! But you still need to choose carefully when facing gallbladder stone preservation!