This video demonstrate laparoscopic Cholecystectomy for empyema gallbladder performed by Dr. R.K. Mishra at World Laparoscopy Hospital. The USG findings discussed are non-specific and usually it is quite difficult to predict empyema gall bladder with these findings. Laparoscopic cholecystectomy is a safe and effective option in acute gall bladder with empyema. Based on our experience we recommend an early laparoscopic gall bladder removal, provided expertise is available.