Male 50 low chol, thin, no fam history of gallstones. 2 attacks 6 weeks ago. ultrasound shows 4 stones, liver bloodwork normal. gb removal advised?

Yes: Unfortunately once you have symptoms, you are at risk for future symptoms and possibly more serious complications. There are no reliable methods of removing the stones so the recommendation once a stone(s) is symptomatic, is cholecystectomy or gallbladder removal. Since this can be done laparoscopically, it is essentially a same day (23 hour) procedure.

Yes!: Even one attack from gallstones is a strong indication for surgical treatment. Speak with an experienced surgeon.