objective: to investigate the clinical value of rigid choledochoscope therapy hepatolith. Selection methods: in October 2013 to October 2014 in our hospital clinical data of 60 patients with hepatolith, were randomly divided into observation group and control group, 30 cases each. Take rigid choledochoscope therapy group, control group take the traditional open surgery, compared the clinical efficacy of two groups of patients. Results: the operation time, postoperative drainage time observation group was obviously shorter than the control group, intraoperative blood loss less than the control group, the difference was statistically significant (P<0.05). Observation group with immediate retention rate, final stones residual rate, recurrent cholangitis, calculi recurrence rates were signifi-cantly lower than the control group, the difference was statistically significant (P<0.05). Conclusion:rigid choledochoscope treatment hepatolith has obvious non- invasive, security, shorter operation time, less blood loss, decrease the rate of stone residues, avoid disease recurrence, worth clinical promotion.