The cholecystectomy is an operation that effectively captures the evolution of general surgery as a speciality. From the first open operation performed by Langenbuch in Berline in 1882, to the introduction and subsequent revolution of laparoscopy, gallbladder operations have changed dramatically since their origins. This poster presentation outlines the transformation of the cholecystectomy over more than 100 years. It demonstrates the innovations, instrumentation and surgical training that developed this operation into the modern operation done today. Early open procedures, pioneered by Kocher and Mayo, relied on anatomical understanding, precision and endurance. The introduction of video-assisted laparoscopy redefined this approach. It wasn’t long before laparascopic cholecystectomy became the gold standard. This technique dramatically impacted patient recovery, training, the operating environment for subsequent generations. This poster will cover key themes of the cholecystectomy over time, including early open techniques and their challenges, the sift from open to laparscopic access, the key pioneers, and the potential for the next revolution of robotics and AI. The story of the cholecystectomy is an example of the continual desire for safer and smarter surgery that drives the incredible advancements we observe today.