The reasons why surgery is not recommended for gallbladder cancer in the elderly include old age, poor physical condition, late staging of gallbladder cancer, high degree of malignancy and so on. 1. Old age and poor physical condition: due to their age, elderly people have poor physical condition and are prone to combining with cardiopulmonary and other basic diseases, which makes them less tolerant to surgery and higher risk of surgery. Poor physique makes it difficult for wounds to heal after surgery, which may easily lead to infection. 2. Gallbladder cancer with advanced stage and high malignancy: when gallbladder cancer is in advanced stage and high malignancy, surgery will reduce the clinical benefit, poor surgical effect and low survival rate. In this case, doctors will not recommend surgery and usually adopt conservative treatment. The feasibility of surgical treatment for gallbladder cancer in the elderly should be based on individual situation and specific condition, and should be carried out under doctor’s guidance in order to get a better survival rate.