BACKGROUND: Cholecystectomy is the mainstay of management. Laparosopic cholecysetectomy is new advancement in the management of gallstone disease. Most of study done worldwide showed wide range of complication rates and conversion rates. There are few studies done in Africa but no study done in Ethiopia about laparoscopic cholecystectomy. We want to assess prevalence of complications and conversion rate laparoscopic cholecystectomy in our hospital. OBJECTIVE: To assess prevalence of complication and conversion rate of laparoscopic cholecystectomy among a cohort of patients who undergone laparoscopic cholecystectomy. METHOD: We used institution based Cross- sectional descriptive study. All patients who were undergone LC in Tibebe Gion Speciased Hospital from September 1, 2019 to November 10, 2020 were used to collect data. We used patient’s card to collect relevant data by prepared check list. We have used operation notes by surgeon, ward progress notes and one month postoperative follow up documentations from each patient card. The collected data was entered and has been analyzed using SPSS version 25 and a descriptive analysis has been done. RESULTS: 85 clients were included in this study. Over all complication rates of laparosopic cholecystectomy was 22.4% and conversion rate of 4.7%. Port site wound infection rate 14.1%, iatrogenic gall bladder perforation and contamination rate 9.4 %, persistent bile leak rate 2.4%, CBD injury rate 1.2%. The average hospital stay was 3.96 days. CONCLUSION: The overall complication rate is slightly higher than most of studies. Port site infection was the major complication in our hospital. Conversions rate was 4.7 %. There was prolonged hospital stay due to different reasons. Wound infection is the only morbidity identified during the first month follow-up. KEY WORDS: - cholelithiasis ,cholecystitis , laparoscopy cholecystectomy ,common bile duct injury ,bile leak , conversion rate