Background: Hepato-biliary disease, especially gallbladder related, was hitherto considered an exclusive problem of the developed nations of Europe, North-America and Asia. The African continent has changed remarkably, and globalisation has brought with it a cultural change in Africa. This change is characterised by both cultural and nutritional transition. The largely starch rich carbohydrate diet of the African is replaced by high calorie, fat laden meals with accompanying consumption of sugar rich snacks and beverages. The African continent has therefore seen a rise in gallbladder related pathologies and the indications and types of gallbladder related surgeries have also changed.