Background: Common bile duct stones (CBDS) occur in 8%–20% of patients suffering from gallstones. There is controversy regarding the management of CBDS due to availability of variety of therapeutic procedures each one having different advantages and limitations. Materials and methods: A prospective study was conducted from September 2013 to November 2015 in patients diagnosed to have choledocholithiasis. Results: Abdominal pain was the most common presenting symptom. Raised serum bilirubin and alkaline phosphatase was the most common biochemical abnormality. Out of 30 patients who underwent common bile duct (CBD) exploration 17 patients underwent T–tube drainage and 13 patients underwent choledochoduodenostomy (CDD).The CDD group had a significantly lesser hospital stay when compared to T–tube group. Conclusion: In this era of endoscopy, surgery still has a role in the management of choledocholithiasis when ERCP fails. Surgical exploration achieves high success rates and is associated with acceptable morbidity.