Objective: To examine whether or not preoperative ultrasonography results were related to surgical outcome in laparoscopic cholecystectomy. Methods: After clearance from institutional ethical committee, 50 patients with diagnosed Cholelithiasis, who underwent laparoscopic cholecystectomy in department of General surgery HIMS, Sitapur from Janurary2021 to October 2022, were selected after meeting inclusion and exclusion criteria. Patients with Acute Cholecystitis, presenting within 72 hours of onset of pain and all patients, of any age group & sex after six week of acute phase of Cholecystitis with Cholelithiasis on USG were included in the study. A total of 50 patients were included in the study. Results: More than one third of patients were 30-40 &>40 years of age (40%) followed by <30 (20%) years. Distended GB was the most common on pre-operative USG abdomen-Gall bladder(92%) and Multiple stone was the second most common on pre-operative USG abdomenGall bladder (72%). Easy operative status was among majority of patients (84%) and difficult was in 16% patients. Gall bladder with Operative status. Wall thickness>3 mm (p=0.009), Mucocele (p=0.02) and Chronic cholecystitis (p=0.001) were significantly associated Preoperative USG abdomen: Gall bladder with Operative status. The mean hospital stay was 12.82±7.14 days. Conclusion: GB Wall thickness>3 mm, Mucocele and Chronic cholecystitis were significantly associated Pre-operative USG abdomen: Gall bladder with Operative status. Pre-operative USG abdomen: Calot’s with Operative status was significantly associated Pre-operative USG abdomen: Calot’s with Operative status. Intra-operative score was significantly higher among patients of Difficult than easy.