Jasmine, yes, it means I never had my gallbladder removed. I was encouraged by my medical doctor to have it removed. Then my chiropractor encouraged me to try flushing before I had the surgery. This led me to Dr. Clarke's flush, and here we are, two years later, and I am symptom free, AND I still have my precious gallbladder. My digestion and elimination are better than they've ever been in my life, and I feel terrific. Please consider flushing before you remove your gallbladder. It is a precious organ, and we need it to function successfully.