Surgical resection of gall bladder is a common surgery and the most common indication for it, is inflammation. Incidental diagnosis of malignancy in such specimens changes the entire perspective of future management for the patient as gall bladder carcinoma is a malignancy with poor prognosis and high fatality. The aim of the study is to study the clinicopathological to study the clinic pathological correlation of the cholecystectomy specimens received in our pathology laboratory. This was a retrospective study over a period of 2 years from June 2015 to May 2017. The case reports were reviewed and data collected. The age and sex incidence, the presenting complaint with duration, the investigations done, the clinical diagnosis and histological diagnosis were analysed. A total of 200 cases of gall bladder were received in the lab during the study period. About 65% were women and the age group commonly involved was 40 to 60yrs. The most common presenting symptom was right upper quadrant pain. The clinical diagnosis correlated with the histopathological diagnosis in 99% of patients while it was different in two cases (1%). Both the cases were adenocarcinoma of gall bladder diagnosed incidentally during histopathological examination. Though the two patients had had CT done preoperatively, gall bladder malignancy was diagnosed histopathologically only. This stresses the importance of meticulous examination of gall bladder specimens and the importance of examining the surgically resected margins of the gall bladders.