What Does the Gallbladder Do?
The gallbladder is a small, pear-shaped organ located beneath the liver on the right side of the abdomen. Its primary role is to store bile — a digestive fluid produced by the liver — and release it into the small intestine after meals to help digest fats. While the gallbladder plays a role in digestion, the body functions well without it. After gallbladder removal, bile flows directly from the liver into the intestine.
cholecystectomies are performed annually in the United States, making gallbladder removal one of the most common surgical procedures.
Society of American Gastrointestinal and Endoscopic Surgeons (SAGES)
Common Gallbladder Conditions
Gallstones (Cholelithiasis)
Gallstones are hardened deposits of bile that form inside the gallbladder. They range in size from tiny grains to golf-ball-sized stones. According to the American College of Gastroenterology, gallstones affect approximately 10–15% of adults in the United States. Many gallstones cause no symptoms, but when a stone blocks the cystic duct or common bile duct, it can trigger a gallbladder attack — sudden, intense pain in the upper right abdomen that may radiate to the back or right shoulder blade.
Cholecystitis (Gallbladder Inflammation)
Acute cholecystitis occurs when a gallstone becomes lodged in the cystic duct, causing the gallbladder to swell and become inflamed. Symptoms include persistent right upper abdominal pain, fever, nausea, and tenderness. Acute cholecystitis typically requires prompt surgical intervention.
Biliary Dyskinesia
Biliary dyskinesia is a motility disorder in which the gallbladder does not empty properly despite the absence of gallstones. Patients experience symptoms similar to gallstone disease — pain after meals, nausea, bloating — but imaging shows no stones. Diagnosis is confirmed with a HIDA scan measuring gallbladder ejection fraction. Surgery is indicated when the ejection fraction is abnormally low and symptoms are consistent.
When Is Gallbladder Surgery Recommended?
Cholecystectomy (gallbladder removal) is recommended when:
- Gallstones cause recurring painful attacks
- Acute cholecystitis develops (inflammation or infection)
- Gallstones lead to complications such as pancreatitis or bile duct obstruction
- Biliary dyskinesia causes persistent symptoms with confirmed low ejection fraction
- Gallbladder polyps are identified that meet criteria for removal
The Procedure: Laparoscopic Cholecystectomy
Dr. Abbassi performs gallbladder removal using a laparoscopic (minimally invasive) approach in the vast majority of cases. The procedure involves four small incisions (each approximately 5–12 mm), through which a camera and instruments are inserted. The gallbladder is carefully separated from the liver and removed through one of the small incisions.
The operation typically takes 30 to 60 minutes. Most patients go home the same day. In cases involving severe inflammation or complex anatomy, Dr. Abbassi may utilize robotic assistance for enhanced visualization and precision.
Recovery After Gallbladder Surgery
- Same-day discharge: Most patients return home within a few hours of surgery
- Pain management: Discomfort is generally mild and managed with over-the-counter medication in most cases
- Return to normal diet: A regular diet is typically resumed within days, though some patients benefit from a temporarily lower-fat diet
- Return to work: Most patients return to desk work within one week and to physical work within two to three weeks
For a detailed recovery timeline, read our guide: What to Expect After Gallbladder Surgery.
Life Without a Gallbladder
The overwhelming majority of patients experience no long-term digestive issues after cholecystectomy. The liver continues producing bile, which flows directly into the small intestine. Some patients notice temporary changes in bowel habits — particularly looser stools after fatty meals — but these typically resolve within a few weeks as the body adjusts.
Why Choose Dr. Abbassi for Gallbladder Surgery?
- Board-certified general surgeon with extensive experience in laparoscopic and robotic cholecystectomy
- Emphasis on same-day discharge and a smooth recovery experience
- Availability for urgent and emergent gallbladder cases
- Clear communication about diagnosis, surgical plan, and recovery expectations
- Conveniently located in Rockwall and McKinney, TX, serving Rockwall County, Collin County, and North Texas
Frequently Asked Questions
How long does gallbladder surgery take?
A laparoscopic cholecystectomy typically takes 30 to 60 minutes. More complex cases may take longer.
Can you live without a gallbladder?
Yes. The body adapts well after gallbladder removal. The liver continues to produce bile, which flows directly into the small intestine. Most patients return to a completely normal diet.
What foods should I avoid after gallbladder removal?
In the first few weeks after surgery, it can help to eat smaller meals and introduce fatty foods gradually. Most patients find they can eat normally within two to four weeks. There is no permanent dietary restriction required for most people.