Aim: 1.To evaluate the success of day case laparoscopic cholecystectomy in a single rural hospital 2.To implement routine day case laparoscopic cholecystectomy in a resource poor rural setting Methods: Retrospective analysis of the feasibility of day case laparoscopic cholecystectomy in a rural hospital based on organisational eligibility criteria. Results: 56 out a total of 240 (23%) elective laparoscopic cholecystectomies were planned as day case procedures from August 2022 to January 2025. 12 out of 56 (21%) cases failed same day discharge due to post operative nausea and vomiting, significant pain, failed intraoperative cholangiogram, intraoperative filling defect and insertion of drain tube. Conclusion: The results of the PILOT study demonstrate that the provision of day case laparoscopic cholecystectomy is feasible in rural and/or regional centres.