The probability of recurrence of biliary pancreatitis treated nonsurgically is 36% to 63%, and the recurrence rate is reduced to 2% to 8% after cholecystectomy. Early diagnosis of biliary pancreatitis is important, and early removal of obstructing stones prevents the progression of pancreatitis, but surgical treatment (cholecystectomy) is the more complete treatment. If the gallbladder is removed and all biliary stones are removed, the recurrence rate of acute biliary pancreatitis and associated complications can be effectively reduced. It can reduce the recurrence rate of nonsurgical treatment from 36% to 63% to 2% to 8%. The first step in the treatment of acute pancreatitis of biliary origin is to identify the presence or absence of biliary obstruction lesions. Anyone with biliary obstruction should undergo emergency surgery to relieve the obstruction. If there is no biliary obstruction, non-surgical treatment should be carried out first, and after the condition is relieved, cholecystectomy should be carried out before discharge from the hospital, and most of them are laparoscopic cholecystectomy, so as to avoid recurrence after discharge from the hospital. Specific treatment advice is recommended to actively consult a doctor to give professional diagnosis and treatment advice.