Globalization and Intercontinental migration have not just changed the socioeconomic status of regions, but have also altered disease dynamics across the globe. Hepatolithiasis, although still rare, is becoming increasingly evident in the West because of immigration from the Asia–Pacific region, where the disease prevails in endemic proportions. Such rare but emerging diseases pose a therapeutic challenge to doctors.The potential advantages of a laparoscopic approach in the management of hepatolithiasis are  minimally invasion, early recovery, shorter hospital stay and better cosmetic outcome.This paper discusses our experience in the innovative approach to deal with the Hepatolithiasis, namely theMINIMALLY INVASIVE APPROACH– ENDOSCOPE REPLACING CHOLEDOCHOSCOPE and also reviews the world literature about the same.