The aim of our present study is ”To determine factors leading to conversion of laparoscopic cholecystectomy to open cholecystectomy”. MATERIALS AND METHODS: The Present clinical Study is a Retrospective analytical studyconducted in Osmania General Hospital, Afzalgunj, Hyderabad,Telangana a Government ran tertiary teaching hospital attached to a medical college.The study period is from 2013 to 2015. All patients who underwent LC (n=302) in the study period were identified from the medical records maintained in our theaters.The study population included all patients irrespective of age or gender or type of admissionThe inclusion criterion was a patient who was converted to open laparotomy. RESULTS: Factors that are leading to conversion of laparoscopic cholecystectomy to open cholecystectomy are: male gender & oldage which are pre–operative factors. Male gender showed a higher conversion rate as compared to female gender which was also observed in most of the similar studies. CONCLUSION: Factors that are leading to conversion of laparoscopic cholecystectomy to open cholecystectomy are: male gender & oldage which are pre–operative factors. Male gender showed a higher conversion rate as compared to female gender which was also observed in most of the similar studies. Oldage associated with higher conversion rates because of long standing symptomology & recurrent attacks in those age groups.