The common etiology of conversion from LC to open cholecystectomy is uncontrollable bleeding, adhesions, inflammation, anatomical variations, trauma of bile duct, presence of malignant pathologies and technical failure. The conversion rate to OC remains approximately 2-5% in most series. Patients were selected according to inclusion and exclusion criteria after taking informed consent and reassuring them keeping confidentiality of their data. In all the 200 patients, patients diagnosed as cholelithiasis and who underwent laparoscopic cholecystectomy or converted to open-cholecystectomy were included in the study. After explaining complete details of the procedure and complications to the patients, the surgery was performed under general anesthesia. In our study out of 200 patients, age from 21-60(n=102) years have difficulty in operation with >40mins of duration of operation with P value <0.001 and the difference is statistically highly significant by Fisher’s exact probability test.Incidental Carcinoma of gallbladder in 1 (0.5%), Gallbladder polyp in 1 (0.5%), CC in 136 (68%), AC in 46 (23%), AGC in 5 (2.5%) & MGB in 11 (5.5%).