Introduction: Laparoscopic cholecystectomy (LC) has been proved to be the benchmark treatment for symptomatic cholelithiasis. The overall morbidity and mortality rate is 5– 10% and 0.1% respectively, and an open conversion rate of 5–10% is commonly reported in the literature. Over a century, classical cholecystectomy (Open method) has been the method of choice in the surgical management of gall bladder diseases. One of the risk factors for cholelithiasis is obesity, the incidence of which is increasing worldwide due to the change in lifestyle habitat. Therefore, surgeons are likely to encounter increasing number of obese patients who require a cholecystectomy for symptomatic cholelithiasis. Conventionally obesity has been considered as a relative contraindication to LC, as the technical difficulties associated with this procedure in these patients were thought to be associated with higher morbidity and mortality as well as increased open conversion rates. The aim of this study was to investigate the safety [peri-operative morbidity and mortality and the incidence of bile duct injuries (BDI)] and efficacy (duration of surgery, LOS and open conversion rates) of an elective LC in the morbid/ super obese patients (BMI > 40) compared to patients with a BMI < 26 and a BMI 26–40