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Gallstone Surgery in India: Types, Cost & Recovery Guide

Experiencing constant abdominal pain due to gallbladder stones? Consult with Pristyn Care's expert and highly experienced surgeons to undergo gallbladder removal surgery and get permanent relief from gallstones. From consultation to post-operative care, Pristyn Care strives to provide a seamless and hassle-free patient experience.

Experiencing constant abdominal pain due to gallbladder stones? Consult with Pristyn Care's expert ... Read More

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    Dr. Sunil Gehlot (Rcx3qJQfjW)

    Dr. Sunil Gehlot

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Gallstone Surgery in India

In India, gallstone disease is one of the major causes of emergency gastrointestinal surgery. This has been facilitated by factors such as sedentary lifestyles, high-fat diets, and increasing obesity rates. Some gallstones remain asymptomatic until they evolve into emergencies like acute cholecystitis, obstructive jaundice, or pancreatitis, which all require the surgical removal of gallstones.

Gallstone surgery, especially through laser surgery for gallstones, has been considered the definitive treatment for all symptomatic gallstones. Enhancements in surgical technology and recovery protocols have now enabled faster recovery for the patients with less hospital time and far superior long-term results.

• Disease name

Gallstone (Gallbladder Stone)

• Surgery name

Cholecystectomy

• Duration

45 - 90 minutes

• Treated by

General Surgeon

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Understanding Gallstones: Causes, Types, and Risks

Gallstones form when substances such as cholesterol, bile salts, and bilirubin are out of balance. Stones may range in size from sand-sized granules to much larger pebble-like stones, and they could either go unnoticed or cause severe pain and digestive problems.

Types of Gallstones:

  • Cholesterol Gallstones: These are yellow-green in color and are prevalent mostly because of insoluble cholesterol. Most common variant. 
  • Pigment Gallstones: These are dark-colored stones that contain excess bilirubin and are commonly seen in cases of liver disease or blood disorders. 
  • Mixed Gallstones: These contain varying proportions of cholesterol, bile salts, and calcium.

Common causes of gallstones are: 

  • High cholesterol levels in the bile 
  • Incomplete emptying of the gallbladder 
  • Obesity or rapid weight loss 
  • Pregnancy or hormone therapy 
  • Diabetes and metabolic disorders 
  • History of gallstone disease in the family

Risk Factors for Gallstones:

Risk Factor Details
Age More common in individuals over 40
Gender Higher prevalence in females
Diet High-fat, low-fiber diets
Sedentary Lifestyle Limited physical activity
Ethnicity Higher risk in people of Indian, Native American, or Hispanic descent

Are you going through any of these symptoms?

Symptoms That Indicate the Need for Gallstone Surgery

While some gallstones cause no symptoms, others may exhibit general signs or symptoms that might indicate a reason for prompt treatment. Surgery is usually advised if someone experiences the following symptoms of gallstones:

  • An upper abdominal pain that recurs periodically, or biliary colic
  • Nausea or vomiting after eating
  • Jaundice due to blocked bile duct
  • Inflammation of the gallbladder, also known as acute cholecystitis
  • Fever and chills
  • Clay-colored stools or dark urine
  • Pancreatitis due to gallstones.

Chronic or severe symptoms often indicate the need for gallstone removal surgery, especially when non-surgical treatments don’t offer long-term relief.

Diagnosis and Preoperative Evaluation

Before going for gallstone surgery, an evaluation is conducted to confirm gallstones and their severity, rule out complications, and plan the safest surgical treatment.

Diagnostic Tests:

  • Ultrasound: This is a primary imaging technique to detect gallstones and inflammation.
  • CT scan of the abdomen: This is used to evaluate if there are complications like perforation or an abscess.
  • MRCP (Magnetic Resonance Cholangiopancreatography): This evaluates for any blockages that may exist in the bile ducts.
  • Endoscopic Ultrasound (EUS): Good for small stones in the bile ducts.
  • Liver Function Tests: These evaluate the hepatobiliary system with respect to its impact on it.
  • Complete Blood Count (CBC): Will look for infection/inflammation.

The surgical fitness of the patient is also evaluated with ECG, blood pressure monitoring, allergy testing, and anesthetic risk assessment.

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Types of Gallstone Surgery in India

Various surgical procedures are available to remove the gallbladder, and the choice depends largely on the patient’s condition, any complications that arise, and the medical infrastructure available. The commonly undergone procedures in India are:

1. Laparoscopic Cholecystectomy (Minimally Invasive)

Being the most common gallstone removal surgery, small incisions are made during this technique to allow the insertion of a laparoscope and the removal of the gallbladder. This method is preferred as the recovery of the patients is quicker and post-operative pain is less. 

Advantages of laparoscopic gallstone removal surgery:

  • Inpatient stay of 24 to 48 hours
  • Minimal scarring
  • Lower chance of infection
  • Quick resumption of daily activities

2. Open Cholecystectomy

This conventional operation involves a large incision made into the abdomen to allow removal of the entire gallbladder. Cholecystectomy through this method is typically carried out in cases where the laparoscopic method cannot be performed, due perhaps to complications arising from severe inflammation or infection, or even scar tissue caused by previous abdominal surgery.

Indications:

  • Ruptured gallbladder
  • Extensive infection or abscess
  • Uncontrolled bleeding

3. Laser Surgery for Gallstones

Being offered at prominent centers as an adjunct to the laparoscopic procedures for gallstones, laser surgery for gallstones uses laser energy for dissection and coagulation of utmost accuracy to reduce blood loss and to improve healing outcomes.

Benefits of laser surgery for gallstones:

  • Improved precision
  • Less bleeding after surgery
  • Faster healing and less tissue damage

Despite these advantages, laser surgery for gallstones is not yet considered standard treatment throughout India. Its use continues to be confined to superbly equipped hospitals with specialized infrastructure and surgical teams. Conventional laparoscopic cholecystectomy remains the primary and widely available option for most patients.

Eligibility Criteria for Gallstone Surgery

Not every patient with gallstones has to undergo surgery. An evaluation of how gallstone removal surgery is needed is performed by a healthcare provider based on symptom severity, stone size, and gallbladder function. 

Ideal Candidates for Surgery:

  • Having a functional compromise of the gallbladder, as judged by imaging modalities or hepatobiliary scans, 
  • Structural anomalies such as large polyps and a calcified gallbladder (porcelain gallbladder) promise an increased likelihood of malignancy 
  • Show changes in bile drainage and gallbladder contractility that are known to predispose to complications later in life
  • Have metabolic and systemic diseases (for instance, diabetes and hemolytic anemia), where gallstones may precipitate higher risks of complications
  • Concomitant abdominal procedures, in which cholecystectomy may be done on a prophylactic basis

Patients Requiring Caution or Alternatives:

Condition Surgical Approach
Pregnancy (second trimester) Laparoscopic surgery only if urgent
Cirrhosis or liver disease May require open surgery or postponement
Severe cardiac or pulmonary conditions Non-surgical management preferred
Bleeding disorders Require correction before proceeding with surgery

In the case of asymptomatic patients or for those considered unwilling to undergo an operation, some may wish to try bile salt tablets, or may try endoscopic procedures, which have a much higher recurrence rate.

Gallstone Surgery Recovery Time and Postoperative Care

Recovery after gallstone surgery depends on the techniques chosen and an individual’s health. Postoperative care immediately following the procedure ensures good healing with minimal complications and tends to the long-term prognosis.

Immediate Postoperative Period:

Aspect Details
Hospital Stay 24 to 48 hours for laparoscopic surgery, 3 to 5 days for open surgery
Pain Relief Mild abdominal pain is managed with prescribed analgesics
Mobility Walking is encouraged on the day of surgery or the following day to prevent blood clots.

Gallstone Surgery Recovery Timeline:

Time Frame Recovery Milestone
Day 1–2 Resume walking, pass gas, begin liquids
Week 1 Return to light daily activities
Week 2–3 Resume low-impact work or office tasks
Week 4–6 Full recovery in most laparoscopic cases
Week 8+ Recovery for open surgeries with larger incisions

Post-Surgery Guidelines:

Do’s Don’ts
Follow a low-fat diet as advised by the dietitian Avoid lifting heavy objects for 2–4 weeks
Take all prescribed antibiotics and pain medications Refrain from oily, spicy, or greasy food during recovery
Attend scheduled follow-up appointments Avoid alcohol and strenuous physical activity
Monitor for signs of complications like fever, jaundice, or swelling Do not skip prescribed physiotherapy or post-op care steps

The gallstone surgery recovery time may vary according to the procedure used and the health status of the patient, but generally, recovery tends to be shorter with minimally invasive options.

Risks and Complications Associated with Gallstone Surgery

Despite gallstone surgery being considered low-risk in experienced hands, it does carry some possible complications that any other abdominal manipulation can have.

Common Short-Term Side Effects:

  • Mild shoulder pain caused by gas inflation of carbon dioxide during laparoscopy
  • Bloating and indigestion
  • Transient nausea and vomiting
  • Pain and swelling in the area of the incision

Rare but Serious Complications:

Complication Description
Bile Leakage May occur if the bile duct is injured
Bleeding Managed intraoperatively or postoperatively
Infection Requires antibiotics or drainage
Injury to Surrounding Organs Very rare; more common in open procedures
Deep Vein Thrombosis Prevented through early ambulation

In laser surgery for gallstone removal, an appropriate degree of precision can be used; therefore, the risk of bleeding and causing tissue damage is generally less.

Cost of Gallstone Surgery in India

The cost of gallstone removal surgery in India depends on the procedure by which surgery is done, the location of the hospital, the reputation and experience of the surgeon, and pre/postoperative care associated therewith.

Average Cost Breakdown by Surgery Type:

Procedure Type Approximate Cost (INR) per Surgery
Laparoscopic Cholecystectomy ₹45,000 – ₹1,15,000
Open Cholecystectomy ₹30,000 – ₹1,00,000
Laser Surgery for Gallstones ₹30,000 – ₹1,40,000

Factors Affecting Cost of Gallstone Removal Surgery:

  • Hospital Tier: Private multispecialty hospitals are the most expensive.
  • Room Type: General ward, semi-private, or private room
  • Diagnostic Tests: Imaging, blood work, ECG, etc.
  • Anesthesia & Medicines: Typically covered under surgical charges.
  • Follow-up Visits: May be included or excluded from the quoted price

Compared to many developed nations, India provides gallstone surgery at a cheap price and is thus an attractive option for medical tourists.

Diet and Lifestyle Changes After Gallstone Removal

Once the gallbladder is removed, the bile is passed into the intestine. This may affect digestion, especially of fats. Thus, patients are advised to follow a healthy diet and make some changes in their eating habits after the surgery.

Recommended Diet Post-Surgery:

Phase Recommendations
Initial Recovery (0–7 days) Begin with clear fluids → shift to bland, low-fat, soft foods in small portions.
Transition Phase (Week 2–4) Gradually reintroduce fiber-rich foods such as fruits, vegetables, oats, and legumes.
Long-Term (Week 5+) Resume a balanced diet, limiting saturated fats and refined carbs.

Long-Term Lifestyle Tips:

Goal Actionable Advice
Maintain Digestive Health Adopt a high-fiber diet and avoid prolonged fasting
Support Metabolic Balance Engage in 30 minutes of low-impact exercise at least 5 days a week
Prevent Gallstone Recurrence Monitor cholesterol and triglyceride levels through regular check-ups
Promote Sustainable Weight Avoid crash diets and instead focus on gradual weight loss of 1–2 kg per month

These habits may positively contribute toward a smoother gallstone surgery recovery time and generally better digestive health.

Gallstone Surgery vs Non-Surgical Treatments

While surgery is the sure way to treat symptomatic gallstones, some nonsurgical means are considered in select instances.

Parameter Surgery Non-Surgical
Success Rate >95% 84%
Recurrence 4-24% after gallbladder removal >30% recurrence within 5 years
Time to Relief Immediate Weeks to months
Cost Higher upfront Long-term recurring cost
Ideal For Symptomatic or complicated gallstones Asymptomatic or high-risk surgical patients

Common non-surgical treatments include:

  • Oral Dissolution Therapy: Ursodeoxycholic acid is used to treat cholesterol stones.
  • Extracorporeal Shock Wave Lithotripsy (ESWL): Breaks stones into smaller bits.
  • Endoscopic Retrograde Cholangiopancreatography (ERCP): Removes stones from the bile ducts but not from the gallbladder.

Surgery is still the standard recommendation for lasting relief and prevention of complications.

How to Choose the Right Hospital or Surgeon for Gallstone Surgery

The selection of an appropriately trained and well-known hospital is crucial to get the best outcomes of gallstone surgery. You should consider not just the cost, but also the clinical infrastructure, safety protocols, and postoperative care that the facility offers.

Evaluation Checklist:

Criteria Considerations
Surgeon’s Experience Board-certified general surgeon or laparoscopic surgeon with high surgical volume in gallstone removal surgery. For instance, a surgeon performing over 150 cholecystectomies annually may offer better outcomes due to procedural expertise. Ask about surgical success rates and complication history.
Technology Used Availability of laparoscopic and laser surgery for gallstones (e.g., 3D imaging, robotic assistance) provides greater precision and quicker recovery. Example: Robotic-assisted cholecystectomy may be ideal for obese patients or those with complex anatomy.
Diagnostic Infrastructure Access to ultrasound, MRCP, EUS, and laboratory tests. Availability of these tests ensures timely preoperative evaluation and early detection of complications.
Infection Control Standards NABH or JCI accreditation, and sterilization protocols. Request hospital statistics on post-surgical infections, particularly in abdominal surgeries.
Postoperative Care 24/7 nursing staff, dietitian support, and scheduled follow-ups. For example, institutions with ERAS (Enhanced Recovery After Surgery) protocols tend to reduce hospital stay and improve recovery.
Transparency in Billing Detailed breakdown of surgery package, inclusions, and exclusions. Ask whether pre-surgical consultations, imaging tests, and postoperative medications are included in the quoted package.

Hospitals with multi-specialty support services (e.g., gastroenterology, anesthesiology) are preferred for managing complications or comorbidities during gallstone surgery.

Latest Advancements in Gallstone Surgery

In recent years, gallstone removal surgery has benefited from several innovations in surgical precision, pain management, and patient recovery.

Technological Innovations:

  • Laser-assisted laparoscopy: Allows greater precision during dissection and coagulation, minimizing damage to surrounding tissue. Available only in select metro hospitals such as Apollo Hospitals (Chennai, Delhi) and Fortis Healthcare.
  • Robotic-assisted cholecystectomy: Provides 3D visibility and enhanced dexterity for particularly difficult cases. Limited to premium tertiary care centers in India, such as Medanta Medicity(Gurugram), Kokilaben Hospital (Mumbai), and AIIMS (Delhi).
  • 3-Port and Single-Incision Laparoscopic Surgery (SILS): Fewer incisions are needed for better health among the patient; it is suitable for selected patients.
  • Enhanced recovery after surgery (ERAS) protocols: A standardized set of care pathways to reduce the length of hospital stay and incidence of complications is gradually being adopted in urban hospitals.

Technological advancements have made surgery on stones safer and the gallstone surgery recovery time faster while offering better patient satisfaction.

Gallstone surgery is still considered to be the definitive treatment for symptomatic gallstone disease. In the laparoscopic and laser surgery for gallstones, the recovery has been drastically improved, the complications have been minimized, and the hospital stay has been shortened. Considering its skilled surgical workforce and cost-effective models of care, India is surely a preferred place for the procedure.

The patient needs to be evaluated on time and must consider a hospital with modern infrastructure and adequate surgeons to achieve the best outcomes. The early treatment would prevent complications such as pancreatitis or rupture of the gallbladder.

For a consultation concerning expert-guided options for gallstone surgery, plan a visit with board-certified surgeons at Pristyn Care to discuss treatment and recovery planning customized just for you.

Frequently Asked Questions gallstone treatment

Do all gallstones require surgery?

No, asymptomatic gallstones usually do not require treatment. Surgery is indicated if patients develop pain or infection, or complications such as pancreatitis or bile duct obstruction.

What are the signs that gallstone surgery is urgently needed?

Complications that require urgent surgical treatment may present with symptoms of abdominal pain, jaundice, fever, vomiting, or signs of infection.

How soon can one return to work after gallstone surgery?

Most patients resume light activities within a week and return to office-based work in 10–14 days. Full recovery may take 4–6 weeks, depending on the surgical method.

Is laser surgery for gallstones better than laparoscopic surgery?

Laser-assisted techniques can improve precision and healing but are currently offered at limited centers and are usually adjuncts to laparoscopic surgery, not replacements.

Can lifestyle changes help avoid gallstone recurrence post-surgery?

Yes, maintaining a healthy weight, avoiding high-fat diets, and engaging in regular exercise can help prevent bile duct stone formation after gallbladder removal.

How are gallstones diagnosed without symptoms?

Incidental findings during abdominal ultrasounds, CT scans, or MRIs often detect gallstones even if the patient has no symptoms.

Are there alternatives to surgery for gallstone treatment?

Non-surgical treatments could include oral dissolution therapy or ERCP, but these are usually reserved for select cases. Operation thus remains the definitive option.

Does gallstone removal impact digestion in the long run?

In most cases, digestion proceeds normally after gallbladder removal. Some, however, may have a few instances of bloating or diarrhea, which can be controlled through diet.

What are the costs involved in gallstone surgery in India?

Costs vary, ranging anywhere from ₹30,000 to ₹1,40,000, depending on the type of surgery (open, laparoscopic, or laser), city, hospital tier, and whether any pre/postoperative services are included in the package.

Is it safe to undergo gallstone surgery during pregnancy?

It is usually avoided unless complications arise. If, however, it has to be done, the second trimester is considered the safest for laparoscopic surgery, under very close medical supervision.

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Medically Reviewed By
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Dr. Sunil Gehlot
33 Years Experience Overall
Last Updated : August 22, 2025

What Our Patients Say

Based on 210 Recommendations | Rated 4.9 Out of 5
  • RA

    Ramachandran

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    5/5

    Very competent and helpful Doctor. Surgery was smooth and got discharged in a day. Very helpful staff and explained the full procedure very well and was very professional throughout. Thank you Dr. Sanjit.

    City : Bangalore
    Treated by : Dr. Sanjit Gogoi
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    Neeraj Rao

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    Came for gallbladder removal. Operation theatre was clean and doc was friendly. Few days hospital stay was comfortable. Minor billing glitch but fixed fast.

    City : Hyderabad
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    Yash Kale

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    5/5

    I recently had laparoscopic surgery for gallstones at Doctors Hospital. The whole process was smooth, and the doctor was very supportive. The staff made me feel at ease from the moment I walked in.

    City : Kochi
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    Suresh Chauhan

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    5/5

    Daiyapan Ghosh is an amazing doctor. Had severe pain in abdomen, turned out to be gallstones. Thanks to Pristyn Care, the surgery went smooth and recovery was quick.

    City : Gurgaon
    Treated by : Dr. Daiyapan Ghosh
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    Jasmine Arora

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    4/5

    My mother underwent laparoscopic gallstone surgery. The recovery was fast and she didn’t even need stitches. Very thankful to the Elantis team

    City : Delhi
    Treated by : Dr. Piyush Sharma
  • FQ

    Farhan Qureshi

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    4/5

    Gallstone pain was ruining my daily life. Pristyn Care suggested laparoscopic gallbladder removal, and it went perfectly. I was home within 24 hours. The hospital is modern, hygienic, and the doctors were extremely professional.

    City : Delhi