Gallstones 1cm refers to gallstones 1cm in diameter, although the diameter is large, but whether surgery is needed, it also needs to be determined by a combination of relevant factors, such as the specific situation of stones, clinical symptoms, the condition of the gallbladder itself, individual differences, etc. 1. Specific situation of stones: If there are multiple gallstones, the gallbladder is filled with stones, occupying most of the space of the gallbladder, this situation should be considered for surgery. Filled gallstones often make the gallbladder lose its original function of storing bile; 2. Clinical symptoms: If the patient has other symptoms, and conservative treatment is not effective in controlling them, or if the symptoms can be controlled but recurring, surgical treatment needs to be considered at this time. Because the recurrence of symptoms not only affects daily work and life, but also may complicate more serious risks in the future, so early surgical treatment is recommended; 3. The condition of the gallbladder itself: whether gallstones 1 cm are combined with significant thickening of the gallbladder wall, gallbladder atrophy, gallbladder function loss, etc. If the gallbladder function is severely missing or completely missing and cannot store bile, patients need to consider surgical treatment; 4. Differences: whether the patients themselves have some related high-risk conditions, such as diabetes, family history of gallbladder cancer, or conditions triggered by gallbladder stones, when they need to consider surgical treatment for gallstones to avoid aggravating other conditions. In daily life, patients with gallstones should avoid fatty, sweet and greasy foods, such as Dongpo meat and braised pig’s feet, and must have a light diet to avoid triggering cholecystitis.