Which surgical procedure is indicated for a patient with symptomatic gallstones?

Cholecystectomy is the surgical procedure indicated for a patient with symptomatic gallstones. Gallstones can cause a range of symptoms, including abdominal pain, nausea, vomiting, and complications such as cholecystitis or pancreatitis. The goal of a cholecystectomy is to remove the gallbladder, thereby alleviating symptoms and preventing potential complications associated with gallstones.

The procedure can be performed laparoscopically or through open surgery, depending on the patient's condition and the surgeon's assessment. By removing the gallbladder, the source of the problematic stones is eliminated, significantly reducing the risk of recurrent symptoms and complications that may arise from the presence of gallstones.

In contrast, the other surgical options listed are not appropriate for managing gallstones. Appendectomy is performed to remove the appendix, primarily for appendicitis, while bowel resection is relevant for conditions like bowel cancer or ischemia. Hernia repair addresses abdominal hernias and does not address issues related to the gallbladder. Therefore, cholecystectomy is the clear and most effective intervention for symptomatic gallstones.