Most people with gallstones will never need treatment. But if your gallstones cause problems, your healthcare provider will want to remove them. Usually, they will want to remove all of your gallstones, even if only one of them is currently causing trouble. If a blockage happens once, it’s likely to happen again. The risk isn’t worth waiting around for. Since there’s no way to access the gallstones inside your gallbladder without removing it, the standard treatment for problematic gallstones is to remove the gallbladder entirely. This is a minor surgery, and you can live well without a gallbladder. If you have gallstones in your bile ducts, your healthcare provider will have to remove those separately as well.