Background: Laparoscopic Cholecystectomy (LC) is the ‘gold standard’ operation for cholelithiasis, but still carries significant morbidity and occasional mortality. Patient and methods: A retrospective analysis of 834 LC over a period of 4 years in a single surgical unit in a tertiary care medical college was performed and various factors affecting conversion and complications reviewed. Results: 657 female (78.77%) and 177 (21.22%) male patients underwent LC over a period of4 years, with an overall conversion rate of 4.31 % (36 patients); the commonest cause of conversion was frozen Calot’s anatomy in 19 patients (52.7%). There was 01 case of bile duct injury (BDI) and 01 mortality (unrelated to the procedure) during this period. Conclusions: LC remains a safe procedure when performed with attention to anatomical landmarks and with a low threshold for conversion to open procedure in difficult cases.