Gallstone disease continues to be one oi the more common abdominal pro
blems that prompts medical evaluation, particularly in the elderly pop
ulation. The presentation is diverse, and the treatment options are va
ried. Primary care physicians need to be familiar with the differentia
l diagnosis, evaluation, and therapeutic options available. Laparoscop
ic cholecystectomy has emerged as the preferred treatment for patients
with symptomatic gallstone disease.