The proportional rise of the gall stones is associated with increase in metabolic abnormalities like insulin resistance and type 2 diabetes and overall metabolic syndrome. A cross sectional study was conducted at department of surgery of Karnataka Institute of medical sciences, Hubli for period of November 2010 to September 2012. About 41 consecutive cases were admitted, examined, investigated and operated were included in the study. The commonest symptom was pain abdomen and the commonest sign was tenderness in the right hypochondrium. Gall stones incidence is more in non–vegetarian than vegetarians. Ultrasonography was the investigation of the choice. It showed multiple gallstones and thickening of the gallbladder in the majority of cases. Among post–op complications, bile leak was common.