Background: This study was conducted for the assessment of efficacy of Nassar scale in prediction of difficulty in laparoscopic cholecystectomy. Material and methods: The present study was conducted in the Department of General Surgery of the Guru Gobind Singh Medical College & Hospital, Faridkot, Punjab. Patients presenting in the surgery OPD of Guru Gobind Singh Medical College & Hospital, Faridkot were involved in the study. Demographic and clinicoradiologic factors were recorded. A routine pre-anaesthetic check-up was done and patients were taken up for conventional four port laparoscopic cholecystectomy.Intraoperative findings and post operative complications were recorded. Results: In the present scenario, on clinical evaluation most common symptom was pain abdomen which was present in 100% cases i.e. 60 patients. Nausea was next common symptom which was present in 12 patients and 6 patients had complaint of vomiting. Pallor was present in 8 patients and no patient had icterus. Per abdomen examination was unremarkable in all 60 patients. 38 patients had previous attack of cholecystitis and results found statistically significant. Out of 60 patient 33 patient had grade 2, 32 patient hand grade 3, 18 patient had grade 1 and 3 patient had grade 4 as per intraoperative gallbladder status during laparoscopic cholecystectomy. Patients outcome was recorded postoperatively according to Nassar Scale. Among this one patient (1.7%) had bleeding postoperatively, belonged to grade 4; oone patient (1,7%) had postoperative bile leak, belonged to grade 3. Postoperatively fever and wound infection was present in 2 patients (3.3%) and 3 patients (5%) respectively. Conclusion: Nassar intraoperative scale provides a potential for accurately grading the intraoperative difficulty during LC. It can help to standarise the description of operative findings by multiple suregons,in terms of disease severity and technical difficulty encountered.The study confirmed the efficacy of Nassar scale as rising grades had significant correlation with difficulty encountered and complications. Thus helps in facilitating training assesment, research and comparing outcomes from difficult locations. It can also help in early decision for conversion for a novoic surgeon in difficult LC.Sample size of our study was small and validation of this scoring system will require good level of evidence. Hence, we recommend routine use of this scoring system in cases of laproscopic cholecystectomy.