Total bilirubin should go lower after gall bladder is removed?

Not necessarily: Gallbladder disease will only cause jaundice if a gallstone has exited the gallbladder and is blocking the outflow of the liver (common bile duct stone). This can be managed surgically, or, more commonly, by endoscopic removal (ercp). A very common cause of jaundice is gilbert's disease, which is harmless; one tends to get jaundiced with any stress, including surgery or acute inflammation.A.