Due to heart ejection frac 40% , doctors say can't perform surgery for gall stone removal...what other options do we have?

Uhh: Ejection fraction of 40% is a little low , around 60% being normal, but it and in itself should not prevent surgery for gallstones for the right indication.

Go elsewhere: You have medical conditions that increase your risk of a complication but you're not inoperable. Go to a large medical center and have your gall bladder removed safely.

Gall bladder: You have a more complicated situation than just ef 40% which isn't alone the limiting factor. You should get your doctors together to consider the options available in your multisystem disease situation.

Medical treatment : Of gallstones is not too successful. Medicine called actigal is available. You need to have a functioning gallbladder (visualization of gb on oral cholecystogram, a test rarely done), it takes up to 2 years, and it can be toxic to liver. If you develop a bad infection, a tube can be placed into your gallbladder under local anesthesia to drain infection to the outside.

Teamwork: Discuss with the surgeon, anesthesiologist and cardiologist together. There are things we can do to decrease your chance of an adverse event (open gallbladder instead of laparoscopic, varying the anesthesia drugs, fluid management, etc. ) still, you should only the surgery if the benefits outweigh the risks. Seek second opinions from a respected surgeon and/or cardiologist.