The treatment of gallbladder stones has undergone a complex developmental process. From the beginning of open laparotomy for stone extraction, to open cholecystectomy, to laparoscopic cholecystectomy, and up to today’s laparoscopic cholecystectomy, each treatment has been closely linked to the clinical needs of the patient. Very often patients develop digestive malabsorption, secondary bile duct stones and even, rarely, secondary colon cancer after cholecystectomy, and even some patients develop bile duct damage during the procedure, resulting in a reduced quality of life. Lithotripsy with preservation of the gallbladder becomes a realistic need for some patients. Although there is a certain rate of stone recurrence, if it is acceptable to the patient to treat the stones when they grow again for several years after removal, then gallbladder preservation for stone extraction is not a bad choice, after all, the gallbladder has a certain value of existence both in terms of psychological and real physical functions. Laparoscopic cholecystectomy for stone extraction, choledochoscopic exploration, flushing of the gallbladder cavity, and closure of the incision become a few important steps with simple, safe and feasible techniques, while meeting the realistic needs of some patients, and are even more suitable for single stones.