Gallbladder removal surgery, or cholecystectomy, is one of the most frequently performed procedures for gallbladder-related conditions such as gallstones or inflammation (cholecystitis).While some may wonder “is gallbladder removal a major surgery,” it is generally considered a low-risk procedure, especially when performed laparoscopically using small incisions. This approach often allows for a quicker recovery and less discomfort post-surgery.
If you’ve just had the procedure — or are planning for it — understanding the recovery process can help you feel more prepared. In this article, we’ll walk you through what to expect in the early weeks, how your body adjusts to life without a gallbladder, and when to seek medical review.
The First Week: Immediate Recovery After Surgery
Pain and Discomfort
It’s normal to feel some soreness or discomfort after gallbladder removal surgery, particularly around the small incision sites used during laparoscopic procedures. Most people describe the pain as mild to moderate, and it generally improves over the first few days.
You may also notice a dull ache in your shoulder. This is known as referred shoulder pain and is caused by the carbon dioxide gas used during the surgery to inflate the abdomen. While harmless, it can feel uncomfortable and may take a few days to subside.
To help manage pain more effectively:
- Lie on your left side, with your right knee gently pulled up towards your chest. This position can ease pressure and help reduce gas-related discomfort.
- Go for short walks, even around the house. Movement can help your body reabsorb the gas and promote healing.
- Apply a heating pad to your shoulder for 10–15 minutes, two to three times a day, if advised. This may relieve lingering discomfort from trapped gas.
- Take pain medication as prescribed. It’s important to take these regularly during the first few days, even if the pain feels manageable. This helps maintain consistent relief and prevents the discomfort from becoming harder to control.
After several days, you can begin to taper off your medication as the pain improves. Always follow the instructions provided with your medication, and do not exceed the recommended dosage. If you’re unsure, refer to the patient information leaflet or check with your healthcare provider.
Looking After Your Wounds
After gallbladder removal surgery, the incision sites are typically closed with dissolvable stitches or a special skin glue. If skin glue is used, it acts as a protective seal — there’s usually no need for additional dressings, and you can shower or bathe as soon as you feel ready. Just remember to gently pat the area dry and avoid rubbing it.
If your wounds are covered with dressings, they are usually splash-proof. You can still shower carefully, but if the dressing becomes soaked, it should be replaced. Paper strips may also be placed beneath the dressings; these, along with any dressings, can usually be removed about a week after surgery.
As the incisions heal, you may notice some tingling, itching, or numbness around the site. The area may also feel slightly firm or lumpy — this is all part of the normal healing process as scar tissue forms.
To avoid slowing wound healing:
- Don’t pick at the glue—it will naturally flake off within 5 to 10 days.
- Avoid applying creams or ointments to the wound until it has fully healed.
- Always pat the area dry gently after washing.
Keep an eye out for any signs of infection, such as redness, increasing pain, swelling, discharge, or fever. If you notice any of these symptoms, contact your healthcare provider for further assessment.
Changes in Digestion
In the first few days, your diet will likely be limited to clear liquids and soft foods. As your appetite returns, you can gradually reintroduce solid food.
It’s not uncommon to experience temporary bloating, gas, or looser stools during this period. These symptoms usually improve with time, but it helps to eat in small portions and avoid high-fat foods early on.
Getting Back on Your Feet
Light activity is generally encouraged as it helps with circulation and prevents blood clots. Short walks around the house or hallway are a good start. Avoid heavy lifting, intense exercise, or any movement that strains your abdominal area until you’ve been cleared by your doctor.
Fatigue Is Normal
Your body has just been through surgery, and it’s normal to feel more tired than usual. Prioritising rest and getting enough sleep will support your recovery.
Weeks 2 to 6: Gradual Return to Normal Activities
Adjusting Your Diet
There isn’t a fixed diet you must follow after gallbladder removal, but certain dietary choices can support digestion and help prevent symptoms like bloating or loose stools as your body adapts.
Stay Well Hydrated
After surgery, some individuals may experience temporary diarrhoea. Replenishing fluids is important, especially in the early days. Water, broths, and electrolyte-rich drinks can help maintain hydration. Alcohol is best avoided during the initial recovery, especially while the effects of anaesthesia or medications are still present.
Choose Low-Fat Options
Without a gallbladder to store and regulate bile, your body processes fat differently. Eating lower-fat meals may reduce the risk of digestive upset. Aim to keep fat intake to a moderate level—generally no more than 30% of your total daily calories. Consider:
- Low-fat or fat-free dairy products
- Lean protein options such as egg whites, legumes, or tofu
- Whole grains like brown rice, oatmeal, and wholemeal bread
- Steamed or grilled vegetables and fruits
- Condiments such as mustard, salsa, or light dressings made with skim milk or vegetable oil
Increase Fibre Gradually
Fibre can help regulate bowel movements, but a sudden increase may lead to gas or cramping. Introduce high-fibre foods slowly over several weeks. There are two types of fibre, both beneficial:
Soluble fibre helps form more stable stools and slows digestion. Good sources include oats, lentils, black beans, apples, pears, and prunes.
On the other hand, insoluble fibre promotes regular bowel movements and includes foods such as whole wheat flour, nuts, carrots, spinach, and berries.
Listening to your body is key. If certain foods cause discomfort, reduce them temporarily and try reintroducing them later in smaller amounts. Over time, most individuals find a balanced eating pattern that works well for them.
Resuming Exercise
If your recovery is smooth, you can slowly return to more structured physical activity. Begin with low-impact movements and gradually increase intensity. High-impact or abdominal exercises should be avoided until your doctor confirms it is safe to resume.
Returning to Work and Routine
The timeline for returning to work depends on the nature of your job. Individuals with desk-based roles may feel ready within 1 to 2 weeks. For physically demanding occupations, it may take longer. If in doubt, check with your doctor.
When to Seek Medical Advice
While complications are uncommon, do seek a medical review if you notice:
- Persistent or worsening abdominal pain
- Yellowing of the skin or eyes (jaundice)
- Fever or chills
- Nausea or vomiting that does not subside
- Swelling or discharge at the incision sites
- Difficulty passing urine
Adapting to Life Without a Gallbladder
Living without a gallbladder means your body will continue to produce bile, but it’s no longer stored and released in measured amounts. Instead, bile flows more steadily from the liver into the small intestine. While this change can affect how your body digests fat, most people adjust well over time.
In the weeks following surgery, it’s common to be more aware of how your body responds to certain foods. Meals that are high in fat or heavily processed may cause discomfort initially, but this often improves with time. Focusing on a balanced, moderate-fat diet and eating smaller portions more frequently can help ease the transition.
Everyone recovers at their own pace. Some return to their usual routines quickly, while others may take more time to adapt to new eating patterns. Listening to your body and making gradual adjustments is key.
If your gallbladder was removed due to ongoing inflammation or recurring symptoms, it’s helpful to have continued support from a gallbladder specialist. At Dr Thng Yongxian’s clinic, patients typically attend a follow-up review within the first few weeks after surgery. This allows your surgeon to monitor healing and address any concerns you may have during recovery.
If you notice ongoing symptoms or simply want reassurance about your progress, don’t hesitate to reach out. Our team is here to support you every step of the way.