Early recognition and prompt intervention are the most crucial steps in the management of gallstone-induced biliary disease. (Mansoor Ahmad et al., 2000).- Gall stone formation is the primary underlying disease that results in gall bladder-related illnesses, The primary mechanisms that result in gallstone formation include supersaturation of bile products, nucleation factors (mucin, glycoproteins, and calcium), and bile stasis (Maurer KR et al, 1999).- There are many Risk Factors for Gallstone Formation as Genetics (Pima Indians, Scandinavians, maternal family history of gallstones, female sex ), Body habitus (Increasing age, obesity, rapid weight loss, pregnancy) , Drugs (Fibric acid derivatives, contraceptive , steroids and post-menopausal estrogens, progesterone, octreotide, ceftriaxone ), Diet (Total parenteral nutrition, fasting ), Diseases (Crohn's disease, ileal resection, gastrectomy, hyperlipidemia and diabetes mellitus) (Mansoor Ahmad et al., 2000) (De Santis A et al, 1997).