I can't speak from a primal standpoint, as I'm just now gradually going more primal and facing my own health issues. However, I did have my gallbladder removed in 2007 after 10 months of attacks. It took the drs. 6 months to discover the cause of my pain. Anyhow, we were between health insurances and I refused, if at all possible, to wait until the new insurance came into effect. In the meantime, I did do a cleanse that is specific to bile and gallstones. I can't remember the exact name of it. I just remember the book that told me about it was called, "Are you stoned?" It basically consisted of fasting 12-24 hours, then drinking olive oil chased with lemon juice. It is absolutely horrific but it did help me pass some of my stones and get me through the remaining 3 months of waiting. As for after the removal, I only had bowl issues for a couple of days. My SIL had issues for a couple of months. So I think everyone is a little different. Hind sight, I would try to do more to keep my gall bladder if at all possible. Good luck! I still remember those pains quite clearly!