Gallbladder cancer in India has a notable geographic distribution, with higher incidence in northern states. Many cases are found incidentally, the histopathology after a routine laparoscopic cholecystectomy reveals invasive cancer. Stage is the dominant prognostic factor: early (T1a) disease is often cured by simple cholecystectomy alone, while T2 and beyond require radical re-resection (gallbladder bed, regional lymph nodes, sometimes bile duct or extended liver resection).