Since you have mentioned that you have abdominal pain and ultrasound is showing gall stones, it is better to go ahead with laparoscopic cholecystectomy as it might lead to future complications. Also at this stage, performing the surgery would be much more easier than when complications have already set in. Also the recovery is very fast.it is a simple routine surgery and patients get discharged very next day.

If you have symptoms like pain I upper abdomen more at night increased by fatty meals, have or had jaundice or indigestion and post meals fullness in abdomen you need an operation. If no symptoms you can wait till you encounter problem.

Yes Surgery is required