Abstract : Cholelithiasis is a common surgical problem in Indian population and cholecystectomy is the most common operation performed by surgery department. In conventional cholecystectomy (OC) gall bladder is approached through a sub costal 7-10 cm incision. Various new techniques and approaches have been invented to decrease operating time, tissue damage, pain, complications and hospital stay. To study the feasibility of mini- incision (4-6cm in length) cholecystectomy in terms of safety, cost effectiveness, post operative complications in the present era of laparoscopy as our procedure does not require any special training or costly instruments of laparoscopic surgery. In this study total 756 patients of symptomatic Cholelithiasis aged between 9-65 years operated by mini- incision cholecystectomy under spinal anaesthesia during January 2010 - march 2020 in district hospital/ government medical college Ayodhya were evaluated. Patient’s written informed consent was taken for spinal anaesthesia and the procedure of surgery was explained to the patients. In total 756 patients 117(15.46%) were male and 639 (84.54%) were female. Most cases 231 (30.55%) were seen in age group of 31-40 years. Average operating time was 30 minutes (20-75 minutes). No major post operative complication was observed except minor bile leak in 58 (7.67%) patients which persisted for 7-14 days. Average hospital stay for this procedure was 3-4 days. Mini- incision cholecystectomy is a safe procedure with less complication, shorter operating time and requires no special training or instruments.