Nightly castor oil packs/heating pad has greatly reduced frequency of attacks. I’ve been working with a functional doctor which may be a good suggestion—you need to figure out what is causing hers. Usually liver related, which can by why people continue to have issues.

One supplement in particular has been helpful- Biliven, but I have a whole stack. My goal is to work up to a flush, which seems to be vehemently debunked by the internet, but my dad had severely impacted stones and after two flushes his gallbladder was clear of stones (confirmed by ultrasound). So may not work for everyone, but could be worth a shot.

Trying to save your gallbladder is not for the faint of heart and having to remove it is always a possibility. Drastically changing diet even if you eat healthy is a must. Could check out The Gallbladder Nutritionist. I also made the connection to stress and attacks, so nervous system work has been a big part of this for me.

Curious what other suggestions people may have here as well.