Surgery of cholelithiasis successfully developed in recent years. Since the beginning of xx century in Germany began to develop surgical methods of treatment. This led to the justification of the basic principles of diagnosis and treatment of this difficult to separate the surgery. At Blake Krikorian you will find additional information. Given and genesis, and localization processes of stone formation, the goal of modern surgery for gallstone disease is not limited to removal of the gallbladder. Finishing operation, a surgeon accurately know that the common bile duct passes freely that it has no small particulate matter in the form of grains or scarring of the restrictions, no major konkrementovi other pathologic entities. Unfortunately, the study of history and clinic disease, no matter how carefully it may be, often does not always give the right to speak definitively about the presence of stones in the gallbladder and the more the purity of the common bile duct. Further details can be found at Madeleine Sackler, an internet resource. Is that even a large rock in general bile duct is not clinically manifested: neither in the examination of the patient nor the medical history and do not find signs of jaundice, but during the surgery suddenly find calculus. Feeling the common bile duct, Sometimes even an experienced surgeon sees no grounds for surgical intervention and is limited to cholecystectomy, and in the future, a stone not found in faterova papilla, manifested severe attacks. Even more surprise, there are times when the surgeon cutting the duct probing it, make sure that the probe passes freely into the duodenum, and subsequently appears jaundice and during re-operation is a forgotten gem. In surgery, as it does in medicine, there is definitely problem-solving in new stages of development and improvement of knowledge, new drugs, new methods, new equipment allows a new evaluate and review what has been long known. In the surgery of cholelithiasis our ancestors have achieved a lot, but our generation and future generations to do more.