Background& Objectives:The conventional four port laparoscopic cholecystectomy is the gold standard treatment for symptomatic gall stone diseases at present. There is a trend towards minimal port placement in laparoscopic cholecystectomy. Still there is derth of data relating to cosmetic outcomes following conventional laparoscopic cholecystectomy.Aim and objectives: Our study is prospective observational study to know the cosmetic outcomes in terms of scar appearance, scar thickness, scar irregularity, incision site discharge and incisional hernia following conventional laparoscopic cholecystectomy after 1 month of follow up.Methods:A prospective study of cosmetic outcomes of 80 patients aged between 35 years to 65 years from 2016 to 2018 was taken into consideration. All the surgeries were done by a single experienced surgeon in AIIMS Patna. The patients were followed up 1 month after the surgery. All the patients of previous scar, lap converted open cholecystectomy, suspected common bile duct stones, history of obstructive jaundice and acute cholecystitis were excluded from our study.Result:Out of 80 patients (60 females and 20 males) studied, the overall cosmetic outcomes following conventional laparoscopic cholecystectomy was satisfactory and cost effective.Conclusion:Overall cosmetic outcomes following conventional laparoscopic cholecystectomy is fine and has been confirmed by many studies in past. Published data showing benefit of SILC over SLC is sparse and there is lack of randomized control trial.There is need of more randomized control trial. to show SILC is cosmetically better while being cost effective than SLC.SLC provides better cosmesis while being cost effective.