Purpose: The increasing demand for cost-effective surgical care has led to wider adoption of day-case laparoscopic cholecystectomy (DCLC). This study aimed to assess the safety and outcomes of DCLC performed in a rural Australian hospital, quantify unplanned admission rates and causes, and compare outcomes with published metropolitan data. Methodology: A retrospective observational cohort study was conducted of 68 consecutive patients planned for elective DCLC between January 2021 and August 2025 at a rural Australian hospital. Data were obtained from paper-based medical records and recorded in an institutional database, including patient demographics, operative details, discharge outcomes, and readmissions within seven days. Data were summarised using means, standard deviations, and percentages. Results: The mean patient age was 42.9 ± 14.7 years, and mean BMI was 30.6 ± 5.3 kg/m²; 75% were female and 88% were ASA grade I–II. Of 68 patients planned for DCLC, 63 (92.6%) achieved same-day discharge. The seven-day readmission rate was 4.4%, with all readmissions due to minor postoperative issues. Prolonged operative duration and drain placement were the main contributors to failure of same-day discharge. There were no conversions to open surgery and no major postoperative complications. Conclusion: Day-case laparoscopic cholecystectomy can be performed safely and effectively in a rural hospital, with outcomes comparable to metropolitan centres. Appropriate patient selection, perioperative planning, and established discharge pathways support expansion of same-day discharge programs in regional surgical practice.