The incidence of concomitant common bile duct stones varies between 8% to 20%. Common bile duct management has been a challenge to the surgeons since time immemorial, with gaining expertise in procedure like ERCP which is considered as the first and promising approach to this problem. The CBD stones are managed either by ERCP or surgery. Our study is an effort to categorize patients with CBD stones to be intervened either by ERCP or surgical procedures with an objective to study the efficacy of endoscopic and surgical management of CBD stones in terms of outcomes, morbidity and mortality.