The aim of this study is to compare open cholecystectomy with needle (closed) technique in laparoscopic cholecystectomy in terms of outcomes and complications. Methods: In this comparative study patients undergoing cholecystectomy were randomized to be in either of the two groups. Each containing 70 patients. Inclusion criteria was, patients with age 20 to 50 years with symptomatic gall stones disease, and without any other general contraindication for laparoscopic surgery. All patients were diagnosed by history ultrasound abdomen. All patients having contraindications to laparoscopic procedure like respiratory compromise, malignancy or any other co-morbidities were excluded from the study.Group A constituted 70 patients and all those were randomized for open technique while group B also contained the same number of patients and they were randomized for Veress needle technique. Open technique was performed through skin incision and then dissecting the fascia for gaining access to abdomen by inserting trocar while the closed technique involves direct insertion of Veress needle into abdominal cavity for pneumoperitoneum creation and then trocar placement. The parameters compared were access time , gas leak, visceral injury, vascular injury, need for conversion, umbilical port site hematoma, umbilical port site infection, umbilical port site hernia. Patients were assessed after discharge at the first post operative day, seventh day then after 2 months, 6 months, and after 1 year and last visit on 18 months for assessment of complications.