What are symptomatic gall stones?

Cardinal symptom is biliary pain (colic) which is RUQ pain radiating to the back w/ or w/out nausea. Pt w/ previous episode of pain have rate of recurrency 38% per year (for uncomplicated pt) Biliary complications are more likely to develop w/symptomatic gallstones (more than asymptomatic) w/ risk estimated 1-2% per year and is constant over time. Cholecystectomy should be done after biliary symptoms occur.