Gallbladder polyp is a common clinical condition, which refers to a type of lesion in which the wall of the gallbladder bulges into the cystic cavity in a polyp-like manner. As people’s health awareness increases and medical checkups become more popular, more and more people find themselves with “gallbladder bulge-like lesions” (commonly used in ultrasound descriptions) in their gallbladder without any discomfort, so treating or not treating them is a confusing issue for many people. The most effective method of treatment for gallbladder polyps is surgery. But not as soon as the polyps are found to take surgery, surgery for gallbladder polyps also need to wait for the right time, usually the polyps below 1 cm in diameter can be followed up and observed, so we must grasp the timing of surgery in the process of treating gallbladder polyps: 1. (1) polyps are solitary, the diameter is greater than 1cm, especially polyps located in the neck of the gallbladder, the patient is older than 50 years old should be operated as soon as possible. (2) If there are multiple polyps in the gallbladder with gallbladder stones and the patient is older than 50 years old, surgery should be performed promptly regardless of the polyp diameter. (3) Polyp single lesion less than 1cm, the patient’s age is less than 50 years old, you can follow up every 3-6 months, if the polyp enlarges or changes in morphology should be promptly surgical treatment. (4) In the process of drug treatment of gallbladder polyps, if the lesion is found to have significant changes and recurrent patients, surgery should also be actively performed. 2.Minimally invasive technology treatment. Gallbladder polyps gallbladder polyps traditional treatment is cholecystectomy, including open cholecystectomy and laparoscopic cholecystectomy. In recent years, for gallbladder polyps all take the gallbladder removal way by many surgeons questioned, in the past a large number of operations found that the gallbladder polyps malignant change is very rare, and gallbladder polyps patients with good gallbladder function, after removal of the gallbladder patients almost all will appear diarrhea, indigestion, and epigastric pain and other adverse reactions, for the treatment of gallbladder polyps urgent improvement. In clinical practice, laparoscopy combined with choledochoscopy for minimally invasive removal of polyps can achieve the effect of preserving the gallbladder and removing the polyps at the same time. In case of benign lesions, the gallbladder can be preserved intact, while in case of adenoma or severe atypical hyperplasia or stage I malignancy, the gallbladder can be removed laparoscopically. This type of surgery is scientific and reasonable for the treatment of gallbladder polyps, which is in line with the principle of minimal damage and most reasonable treatment, and avoids the unnecessary sacrifice of gallbladder for benign gallbladder polyps in a large number of patients. However, this type of surgery requires a high level of technical skills, especially the use of laparoscopic choledochoscopy and choledochoscopic electrodesection, which require long-term training and surgical experience of the surgeon.