Background: Jaundice is a condition in which the skin, whites of the eyes and mucous membranes turn yellow because of a high level of bilirubin. Jaundice has many causes, including hepatitis, gallstones and tumors. Most patients who present for Endoscopic Retrograde Cholangiopancreatography (ERCP) have previously undergone non- invasive diagnostic testing (e.g. computed tomography [CT], magnetic resonance cholangiopancreatography [MRCP], or ultrasonography [US]) that revealed an abnormality which required intervention with ERCP. Although a multitude of therapeutic ERCP maneuvers are known, the most common are biliary or pancreatic duct stones, malignant or benign strictures or stenosis, leaks, and tissue sampling. Complication include Pancreatitis, Cholecystitis, Hemorrhage, Perforation in 2nd part of duodenum, allergic reaction to the contrast and sedative agents. Methods: The study included patients with obstructive jaundice proven by investigative modalities. Thorough history taking and clinical examination was done, before the procedure.