If the symptoms are severe, then the doctors might recommend cholecystectomy, which refers to the surgical removal of gallbladder. They might chose to perform an open cholecystectomy or perform the procedure laparoscopically. Laparoscopic procedure is minimally invasive, as small incisions are made to insert a laparoscope and surgical instruments, and the removal of the gallbladder is carried out, with the help of images of the internal organs that are seen on the monitor.