Laparoscopic cholecystectomy has become the gold standard of treatment for gallbladder stones due to its effectiveness and minimally invasive nature. However, in recent years, with the continuous pursuit of health and the continuous improvement of treatment by doctors, the requirement of preserving the gallbladder as an organ has been raised, and some hospitals are carrying out “biliary stone removal” surgery, which simply means that the bottom of the gallbladder is opened through a small incision in the abdominal wall and the stones are removed through a biliary tractoscope, which not only preserves the existence of the gallbladder but also solves the problem of stones. However, there are still a large number of cases that show that there are still some questions that have not been completely solved by the medical community: “How to define whether the gallbladder should be preserved or not? Is there a good function of the preserved gallbladder? Will the stones recur?” We believe that in the near future, with the improvement of the medical level, we will be able to solve some of the above problems, and we hope to preserve a functional gallbladder for patients with indications. However, at this stage, we should be cautious in preserving the gallbladder.