BACKGROUNDLaparoscopic cholecystectomy has become the standard treatment for symptomatic gall bladder disease. However, there is still a substantial proportion of patients in whom Laparoscopic cholecystectomy cannot be successfully performed, and for whom conversion to open surgery is required. Aim-In the present study we studied the various reasons for conversion of laparoscopic cholecystectomy to open cholecystectomy and complications associated with this procedure in a tertiary care centre at the turn of the century. Setting and Design-It is a retrospective, randomised study conducted over a period of 8 years.