Background: The present study was conducted for evaluating profile and surgical findings among patients of acute cholecystitis.Materials & methods:100 patients with acute abdominal pain or with other illness on investigation found to have acute cholecystitis were enrolled. Assessment of patient include detailed history, clinical examination, standard laboratory test including liver function tests, serum amylase, lipase and radiological diagnosis with ultrasound examination, CT, MRCP. The treatment plan followed and given for the patient is noted and assessed. Surgical findings were recorded separately. All the results were recorded in Microsoft excel sheet and was subjected to statistical analysis using SPSS software.Results:Mean age of the patients was 53.9 years. Sonographic Murphy’s sign was seen in 98 percent of the patients. Surgical management was done in 88 percent of the patients. Among these patients, open surgical procedure was carried out in 15 percent while laparoscopic procedure was done in 73 percent. Conservative treatment was done in 12 percent of the patients. While assessing the surgical findings, it was seen that calculi were found to be present in 94 percent of the patients. Acalculus Chol. was seen in 2 percent of the patients. Emphysematous GB, Dense adhesion and Perforation was seen in 1 percent, 2 percent and 1 percent of the patients respectively. Conclusion:Ultrasonogram remains the most important investigation of choice for the diagnosis of acute cholecystitis. Laparoscopic cholecystectomy is the most preferred.