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A significant part of patients with cholelithiasis from the moment of onset of cholecystitis is threatened by such complications as obstruction of the common bile duct with a stone, the development of chronic pancreatitis, active pericholecystitis with the involvement of neighboring organs in the process, the transition to a destructive form of cholecystitis, perforation of the gallbladder, vesico-duodenal fistulas and others. Of our 250 patients who underwent cholecystectomy, 93, that is, 37.2%, were operated on due to these complications. Naturally, in these conditions, surgical intervention cannot be the stage that completes the treatment of recurrent and chronic cholecystitis.