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MAKE AN INFORMED CHOICE

Gallstones: treatment choices

Compare the choices to discuss, the practical trade-offs and the costs that may follow.

Do gallstones always need surgery?

Gallstones that cause no symptoms may not need treatment. Symptoms, complications or stones in a bile duct can change the plan; gallbladder surgery and treatment to clear a bile duct are different procedures.

Sources checked 10 September 2026 · England · Use this to prepare a discussion with your healthcare professional.

Options to discuss

Your clinician should explain which of these are appropriate for your diagnosis and circumstances. Use the linked NHS information for clinical detail and the NHS decision aid where available.

1

No immediate procedure

Discuss monitoring if stones are not causing problems.

What to weigh up

Agree what to do if symptoms begin or change.

Ask your clinician

What should I do if I get pain, fever or jaundice?

2

Gallbladder removal

Discuss surgery when symptoms or complications make it appropriate.

What to weigh up

Surgery has risks and does not treat every possible cause of abdominal pain.

Ask your clinician

How confident are we that the stones explain my symptoms?

3

Bile-duct treatment

A bile-duct stone may need a separate procedure such as ERCP.

What to weigh up

This has its own preparation and risks; it is not a substitute name for gallbladder removal.

Ask your clinician

Will I need one procedure or more than one?

Put the next steps in place

Make the comparison personal

Ask your clinician which options are appropriate for your confirmed diagnosis, including the option of waiting where clinically reasonable. Request the likely benefit, important harms and uncertainty for someone with your circumstances. Use the same time period and the same outcome when comparing figures.

Connect the choice to a workable care plan

Ask where assessment, treatment and follow-up happen, what is NHS-funded and which fees are separate. Include travel, work, caring responsibilities and help at home in the discussion. A cheaper package is only useful if it covers the care you need.

Your appointment and planning checklist

Gallstones: treatment choices: preparation
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Prepare the discussion around what matters to you

Choose your priorities to build a short set of questions. This helps prepare an appointment; it does not select or score a treatment.

Your priorities

Your discussion questions

Choose a priority above to add a question.

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Connect the plan to costs and services

Compare the correct procedure or service, then check the provider’s current offer, referral route and practical arrangements.

Confirm that the named service provides the particular therapy or treatment you need. Historical evidence does not establish a current place or appointment.

Sources and coverage

Prepared from the sources below, checked on 10 September 2026. This is general decision and practical planning information. The linked clinical guidance and your treating team provide the detail needed for your care.