BACKGROUND: Laparoscopic cholecystectomy though a common laparoscopic procedure, it can be difficult at times and sometimes it can increase the operative time due to involved risk factors, our objective was to study and evaluate those risk factors and to evaluate a pre-operative scoring system including the parameters which predisposes to the risk involved in the Surgery and thus helping to predict the possible difficult laparoscopic cholecystectomy and to study the outcome in these patients. MATERIALS AND METHODS: A Prospective study was conducted on 60 patients with consent and within the inclusion/exclusion criteria admitted in General Surgery department, BMCRI, Bengaluru. RESULTS: In our study we found that Age>50 years, Male gender, history of previous admissions, Palpable gallbladder, Increased wall thickness, pericholecystic collection were statistically significant factors to predict difficult laparoscopic cholecystectomy. CONCLUSION: The scoring system evaluated is reliable and is useful to predict the possible difficult Surgery or need for conversion to open cholecystectomy.