ABSTRACT Background: Cholelithiasis remains a common cause of surgical intervention, contributing substantially to health care costs. The present study was conducted to assess clinical presentation and management and outcomes of the cholelithiasis. Materials & Methods: 84 adult patients of cholelithiasis of both genders were included. Parameters such as nature of the symptoms, hemogram, electrocardiogram, liver function test, blood sugar, blood urea, serum creatinine, urine analysis, blood group, chest X-ray, and ultrasound scan of the abdomen. All patients underwent open cholecystectomy Results: Out of 84 patients, males were 32 and females were 52. Common clinical features were pain abdomen seen in 84, dyspepsia was present in 56 patients and nausea in 32. The difference was significant (P< 0.05). Number of stones was single in 14, double in 26 and multiple in 44. Type was cholesterol in 28, pigmented in 24 and mixed in 32. Shape was round in 24, irregular in 34 and facet shaped in 26. The difference was significant (P< 0.05). Conclusion: Most common shape of stones was irregular and type was mixed. Common clinical features were pain abdomen, dyspepsia and nausea.