Your query is vague. The title mentions jaundice with raised bilirubin. But the inside content says that you have gall stone and the gall bladder requires surgery immediately. First of all, if there is jaundice, it needs to be confirmed if it is because of the gall stones entering the common bile duct or due to any other reason. If the jaundice is because of the stones, then the stones need to be cleared first so that the bilirubin levels and accordingly jaundice comes down. This should then be followed by gall bladder surgery- laparoscopic cholecystectomy

Yes you should get operated. Gall stones can cause lots of complications