Gallbladder removal is one of the most common operations performed in older adults. Yet, research from UTMB shows many patients who would benefit most from the surgery don’t get it. The UTMB risk prediction model provides a starting point for individualized care and shared decision making in older patients with gallstones. Integrating this model into clinical practice, especially at the level of the primary care physician, may improve outcomes by increasing elective gallbladder removal rates in the patients at highest risk and prevent future complications in this vulnerable population. This information would also allow physicians to avoid gallbladder removal in patients who are a high surgical risk and at low risk for developing complications from their gallstones. In patients with lower risk and the decision for gallbladder removal is based on preference, this information can help patients make decisions in the context of their symptoms and the impact on their quality of life