Are gallstones always eventually symptomatic or could i live with having them and never experience problems?

U May Keep Ur Stones: The presence of gallstones in the absence of symptoms does not require treatment. In fact, as many as 75% of people w/stones never develop symptoms. I recommend that you clarify with your doctor why surgery is being recommended (if it is).

Gallstones often are: Asymptomatic for years. Only when their number or size reaches a point to cause blockage of the bile duct is one likely to experience symptoms. Limiting fats in the diet can help prevent symptoms.

Not always a problem: Gallstones can cause a variety of symptoms. Many people have them and don't know it. So yes, you can have them and never experience problems. That being said, I have also seen patients that have their gallbladder removed for one complaint, but also get relief from a variety of other complaints.