Background: Gall bladder carcinoma is the most common biliary epithelial neoplasm. Its slowly progression and late presentation lend it a poor prognosis. Various risk factors can be divided into cholelithiasis, inflammatory cause’s infection and gall bladder pathologies among in all these cholelithiasis is most common problem with which pt presents in surgery opd. In this retrograde observational study we look for the incidence of gall bladder carcinoma in daily routine surgery lap/open cholecystectomy for cholethiasis. Materials and methods: we analysed the medical records of patients with symptomatic gall stone disease who underwent lap/open cholecystectomy at Sharda hospital. Results: A total of 356 lap/open cholecystectomies performed in our institute inperiod of one year and eight pt diagnosed with incidental gall bladder carcinoma. Conclusion: Cholecystectomy which is performed for benign gall bladder disease rarely results is diagnosis of gall bladder carcinoma hence the microscopic examination of each specimen and follow up of patient is important.
