Background:The major problems during laparoscopic surgery are related to the cardiopulmonary adverse effects of pneumoperitoneum, systemic carbon dioxide absorption, and patient positioning. Due to the requirement of steep head-up position, the chances and severity of unwanted hemodynamic responses such as hypertension and tachycardia are much higher in laparoscopic cholecystectomy when compared with other laparoscopic surgeries.Objective: The goal of anesthetic management in laparoscopic surgeries is to minimize these hemodynamic responses along with adequate depth and pain control with the target of minimal stress response and early discharge.