240 cases of cholelithiasis were studied in Osmania General Hospital, Hyderabad. Clinical features, age incidence, sex ratio, presentations, investigations & surgical modalities of treatment were studied. The series is compared with the series reported by North American surgeons. The incidence is 2% of all the operated surgical cases. The youngest patient was 16yrs of age & the oldest patient was 66yrs. The maximum number of patients was between 41-50yrs of age. The female to male ratio was 2:1. Most of the patients were not overweight or obese but moderately built. Pain in the right hypochondrium was the presenting symptom in 98% of the cases. Ultrasonography of the abdomen was the most accurate investigation (nearly 100%). Laproscopic cholecystectomy was the surgical procedure of choice. There was no mortality in the series.