Laparoscopic cholecystectomy has become the preferred method to treatment for patients with cholelithiasis. Perforation of the gallbladder during laparoscopic cholecystectomy with spillage of stones into abdominal cavity is not uncommon. Although, overall complication rate 1 is less than in open technique, injury of biliary tree and perforation of gallbladder with spillage of stones are more frequent in laparoscopic cholecystectomy. The fate of spilled bile with gallstone is on a continuous debate. Recent reports have implicated dropped gallstones as a source of infrequent but severe complications of laparoscopic cholecystectomy. For this reason we have done this review regarding different possible outcomes, few suggestions to prevent these and their management.