Laparoscopic cholecystectomy remains one of the most commonly performed procedures in the United States and worldwide. Although the laparoscopic approach is considered safe, complications are still prevalent and occur in 6–8% of patients. Despite its relative infrequency, the most serious major complication is bile duct injury, which is a major cause of morbidity and mortality. Bile duct injury can convert a potential outpatient procedure into one requiring further operative interventions, additional costs, and a significant negative impact on the patient.