Chapter 3. That pesky gall bladder. It's not a revelation most people who have been obese for years will end up having their gall bladder removed. And no expensive prescription will save it. You are going to be in the neighborhood anyway so why not save the patient another surgery and recovery by just taking it out now? I can't even tell you how many people have posted over the years about their doc 'saving' the gall bladder. And sure enough, 6 months or a year down the road, they are posting about having a second surgery to remove it. This shouldn't happen. Remember the 3 F's? When a patient presents with abdominal pain if they are Fat, Female, and over Forty...the first thing you check is the gall bladder. True then, true now!