Objective To explore the application effect of preoperative education based on decision aids in enhanced recovery after surgery for patients with gall bladder and bile duct stones undergoing laparoscopy, duodenoscopy and choledochoscopy treatment. Methods Sixty patients with gall bladder and bile duct stones undergoing laparoscopy, duodenoscopy and choledochoscopy treatment were randomized into an intervention group and a control group using a random number table, with 30 patients in each group.The control group received routine preoperative education, while the intervention group received preoperative education based on decision aids. Results After the intervention, the score of decision-making participation satisfaction and postoperative treatment compliance in the intervention group were significantly higher than those of the control group, and the postoperative recovery time of gastrointestinal function, drainage time and hospital stays in the intervention group were significantly shorter than those of the control group （P＜0.05,P＜0.01）. Conclusion The preoperative education based on decision aids is helpful to improve the satisfaction of decision-making participation and postoperative treatment compliance for patients with gall bladder and bile duct stones undergoing laparoscopy, duodenoscopy and choledochoscopy treatment, and it is conducive to improving patients′ postope-rative recovery.