Gallbladder Removal Surgery in Melbourne

Gallbladder removal surgery, known medically as cholecystectomy, is the surgical removal of the gallbladder, a small organ beneath the liver that stores bile. The gallbladder is commonly removed when gallstones, inflammation, or other gallbladder disease cause recurrent pain, infection, or serious complications that cannot be resolved with conservative treatment.

At Specialist Surgical Group, our Melbourne-based upper gastrointestinal surgeons perform laparoscopic cholecystectomy using minimally invasive keyhole techniques. During the procedure, the gallbladder is disconnected from its blood supply and from the common bile duct before being removed through a small incision.

Your liver continues to produce bile after surgery; it flows directly into the small intestine rather than being stored, which does not significantly affect digestion for most people. You can find more information about our upper GI surgery services here.

Find more information about our upper GI surgery services.

We consult from our Essendon and Bundoora clinics, with procedures performed at accredited hospitals in Melbourne.

Call us today at (03) 9466 7338 to book a consultation.

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We are located in the heart of Essendon and Bundoora.

(03) 9466 7338

Is gallbladder removal surgery right for you?

Cholecystectomy is generally considered for patients who:

  • Experience recurring episodes of severe abdominal pain (biliary colic) caused by gallstones
  • Have acute or chronic gallbladder inflammation (cholecystitis) that affects their daily life
  • Have developed complications such as gallstone pancreatitis, bile duct obstruction, or gallbladder empyema
  • Have not achieved lasting relief from symptoms through conservative management
  • Have gallbladder polyps of 10 mm or larger, or smaller polyps with risk features, that require removal
  • Have a non-functioning gallbladder confirmed on imaging

During your initial consultation, your surgeon will review your symptoms, medical history, and imaging studies to determine whether cholecystectomy is the appropriate treatment for your specific condition.

Potential benefits

  • Permanent resolution of gallstone symptoms. Cholecystectomy removes the source of biliary colic, preventing further episodes of gallstone-related pain. More than 90% of patients experience complete symptom relief following surgery [1].
  • Prevention of serious complications. Removing a diseased gallbladder eliminates the risk of gallbladder perforation, ascending cholangitis, and gallstone pancreatitis, all of which can be life-threatening if left untreated [2].
  • Minimally invasive recovery. Laparoscopic cholecystectomy involves 3-4 small incisions, results in significantly less post-operative pain than open surgery, and allows most patients to return to light activity within days [3].
  • Same-day or next-day discharge. Most elective laparoscopic cholecystectomies in Australia are performed as day procedures or with an overnight stay, allowing patients to recover in the comfort of their own home [3].
  • Return to normal eating habits. The majority of patients can return to a largely unrestricted diet within a few weeks of surgery, free from the dietary anxiety that often accompanies gallstone disease [1].

Potential risks

  • Bile duct injury. Inadvertent injury to the bile duct is a recognised complication of cholecystectomy, occurring in approximately 0.3-0.5% of laparoscopic cases. Significant bile duct injuries may require further surgical repair or endoscopic intervention [4].
  • Bile leak. A small leak from the cystic duct stump or an accessory duct occurs in approximately 1% of cases and may require endoscopic stenting or, rarely, reoperation [5].
  • Post-cholecystectomy syndrome. A subset of patients experience ongoing or new upper abdominal symptoms after surgery, including bloating, loose stools, or fat intolerance, as the digestive system adapts to the absence of the gallbladder. Symptoms are usually mild and resolve over weeks to months [6].
  • Conversion to open surgery. Severe inflammation, adhesions from prior surgery, or unclear anatomy may require conversion from laparoscopic to open cholecystectomy, resulting in a longer hospital stay and recovery period. Conversion rates are approximately 5% in elective cases [3].
  • Retained bile duct stones. Gallstones occasionally pass into the common bile duct before or during surgery. If identified, these can usually be managed endoscopically (via ERCP) without further open surgery [2].
  • General surgical risks. Bleeding, wound infection, and anaesthesia-related complications are common in any surgical procedure. These risks are minimised by our laparoscopic techniques and accredited hospital settings [1].

Book a consultation today

(03) 9466 7338

Meet our Upper GI surgeons

Dr. Chek Tog, Gastrointestinal and Bariatric Surgeon

Dr Chek Tog, MBBS, FRACS

Bariatric, Gastrointestinal & General Surgeon

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Dr. Ernest Lim, Bariatric, Endocrine, and Laparoscopic Surgeon

Dr Ernest Lim, MBBS, FRACS

Bariatric, Endocrine & General Surgeon

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Dr. Ben Keong, Upper Gastrointestinal & Bariatric Surgeon

Dr Ben Keong, MBBS, FRACS

Bariatric, Gastrointestinal & General Surgeon

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Your gallbladder removal journey

The following steps provide a brief overview of your journey for gallbladder removal surgery. Individual experiences will vary based on your specific health circumstances.

1. Initial consultation and health assessment

Your surgeon will take a detailed history of your symptoms, including the frequency and character of your abdominal pain, any history of jaundice, fever, or nausea, and the results of any investigations already performed.

A physical examination will be performed, and your overall health, surgical history, and any medical conditions that may affect anaesthetic risk will be assessed.

If further imaging is required to clarify the anatomy or to assess the bile ducts, your surgeon will arrange this before confirming surgical planning.

2. Pre-operative preparation

For elective procedures, your surgeon will provide written pre-operative instructions covering fasting requirements, medication management, and what to bring on the day of your procedure. Blood tests are arranged to assess your full blood count, liver function, and coagulation.

If you are on anticoagulant medications such as warfarin or direct oral anticoagulants, specific guidance will be provided regarding how to manage these around the time of surgery.

Patients with active acute cholecystitis or gallstone pancreatitis may require a period of hospital treatment before proceeding to surgery.

3. The surgical procedure

Laparoscopic cholecystectomy is performed under general anaesthesia at an accredited Melbourne hospital. The procedure typically takes 30-60 minutes. 3-4 small incisions (each measuring less than 1.5 cm) are made in the abdomen to insert a high-definition camera and surgical instruments, and the abdomen is gently inflated with carbon dioxide gas to create working space.

Your surgeon identifies the critical anatomical structures before dividing anything, a step known as achieving the critical view of safety, which is the standard approach to minimising the risk of bile duct injury.

The cystic duct and cystic artery are then divided between surgical clips, and the gallbladder is dissected free from the liver bed and removed through one of the incisions. The gas is released, and the incisions are closed with sutures or skin closure strips.

4. Hospital recovery

Most patients undergoing elective laparoscopic cholecystectomy are observed for several hours in the recovery area before being discharged the same day or the following morning. Fluids and light food are commenced once you are alert and comfortable.

Pain after laparoscopic cholecystectomy is generally mild to moderate and is managed effectively with oral analgesia. Shoulder tip discomfort caused by residual carbon dioxide gas is common and typically resolves within 24-48 hours.

Before discharge, you will receive written instructions covering wound care, activity restrictions, and symptoms to watch for.

5. Recovery at home

Most patients are comfortable driving within 3-5 days and can return to desk-based work within 1-2 weeks. Those with physically demanding jobs or heavy lifting requirements may need 3-4 weeks before returning to full duties.

In the first 1-2 weeks, a light diet low in fatty foods is generally recommended as the digestive system adjusts. Most patients can return to a normal, unrestricted diet within 3-4 weeks.

Your surgeon will advise on specific lifting restrictions and wound care at discharge, and a follow-up appointment will be scheduled to confirm your recovery is progressing well.

6. Long-term follow-up

A post-operative review is typically scheduled at 2-4 weeks to confirm wound healing and that your symptoms have resolved. Further follow-up is arranged as needed based on your individual recovery.

For the small subset of patients who had bile duct stones identified at the time of surgery, or who were found to have common bile duct dilation on pre-operative imaging, additional review with liver function testing or repeat imaging may be recommended.

Most patients require no ongoing specialist review once their initial recovery is complete.

Book a consultation today

(03) 9466 7338

Gallbladder removal surgery FAQ

How much does gallbladder removal surgery cost in Melbourne?

The total cost of a laparoscopic cholecystectomy includes the surgeon’s fee, anaesthetist’s fee, and hospital facility charges. Medicare provides a rebate toward the surgical fee for patients who meet the clinical criteria. Privately insured patients typically pay out-of-pocket costs ranging from $500 to $2,500, depending on their health fund, hospital, and policy level.

Patients without private health insurance may incur higher out-of-pocket costs. Your specific fees will be outlined in detail during your consultation, and we recommend contacting your health fund before your appointment to confirm your level of cover and any applicable waiting periods.

Will I be able to eat normally after having my gallbladder removed?

Yes. The majority of patients return to a normal, unrestricted diet within 3-4 weeks of surgery. In the first couple of weeks, a lower-fat diet is recommended to reduce the likelihood of bloating or loose stools while your digestive system adjusts. Most people find that any dietary sensitivity settles over time and does not impose long-term restrictions.

How long will I need to take off work after a cholecystectomy?

Office-based and desk workers typically return to work within 1-2 weeks. Those in physically demanding roles or jobs that require heavy lifting may need 3-4 weeks to return to full duties. Your surgeon will provide specific guidance based on your occupation and the progression of your recovery.

Is gallbladder removal covered by Medicare and private health insurance?

Cholecystectomy is a Medicare Benefits Schedule (MBS) item when performed for a clinically appropriate indication, such as symptomatic gallstones, cholecystitis, or gallstone pancreatitis. Private health insurance generally covers hospital admission and anaesthesia costs, subject to your policy level and any applicable waiting periods. We recommend confirming your entitlements with your fund before your consultation.

What happens to bile after the gallbladder is removed?

Your liver continues to produce bile at the same rate after surgery. Without the gallbladder as a storage reservoir, bile flows continuously and directly into the small intestine rather than being released in response to meals. For most people, this does not cause any significant digestive change. A small number of patients initially notice looser stools or mild fat intolerance, which usually improve over the first few months.

Are there alternatives to gallbladder removal for gallstones?

There are no durable non-surgical alternatives for symptomatic gallstones. Oral dissolution therapy with ursodeoxycholic acid can dissolve certain small cholesterol stones, but recurrence rates are high once treatment stops and this approach is rarely used in contemporary practice. Dietary modification can help reduce the frequency of attacks, but does not eliminate the underlying stones. For most patients with symptomatic gallstones, cholecystectomy is the definitive and recommended treatment.

What warning signs should I watch for after surgery?

Contact our rooms or present to an emergency department if you experience severe or worsening abdominal pain, fever above 38.5°C, persistent nausea or vomiting, yellowing of the skin or eyes (jaundice), dark urine, or signs of wound infection such as increasing redness, swelling, or discharge. These symptoms may indicate a bile leak, retained bile duct stone, or other complication requiring prompt assessment.

What is the difference between laparoscopic and open cholecystectomy?

Laparoscopic (keyhole) cholecystectomy uses 3-4 small incisions and a camera to remove the gallbladder, resulting in less post-operative pain, a shorter hospital stay, and faster return to normal activity compared to open surgery.

Open cholecystectomy uses a single larger incision and is generally reserved for cases where the laparoscopic approach is not safe due to severe inflammation, complex anatomy, or intraoperative findings. The great majority of cholecystectomies in Australia are performed laparoscopically.

Can gallstones come back after the gallbladder is removed?

Once the gallbladder is removed, gallstones cannot recur there, as the organ is no longer present. However, stones can occasionally form in the bile ducts (choledocholithiasis) after surgery, although this is uncommon. Patients with a history of bile duct stones at the time of cholecystectomy are at slightly higher risk and may benefit from monitoring.

How does gallbladder disease relate to other upper GI conditions?

Gallbladder disease can sometimes occur alongside or mimic other upper GI conditions, including hiatal hernia and gastro-oesophageal reflux disease (GORD), which is treated with anti-reflux surgery. Our upper GI surgeons assess and manage the full spectrum of upper gastrointestinal conditions and can help determine whether your symptoms are related to the gallbladder or another cause.

Other upper GI conditions managed by our team include treatment for achalasia.

Medical disclaimer

The information on this page is for general educational purposes only. It does not constitute medical advice, diagnosis, or treatment recommendations, and does not create a doctor-patient relationship. Individual circumstances vary significantly, and nothing on this page should be used as a substitute for personalised advice from a qualified medical professional.

If you have concerns about your health, please seek medical attention promptly. To discuss your specific condition and treatment options with our team, please book a consultation by calling us at (03) 9466 7338.

References

[1] Gurusamy KS, Samraj K, Gluud C, Wilson E, Davidson BR. Meta-analysis of randomized controlled trials on the safety and effectiveness of early versus delayed laparoscopic cholecystectomy for acute cholecystitis. Br J Surg. 2010;97(2):141-150. https://doi.org/10.1002/bjs.6870

[2] Williams E, Beckingham I, El Sayed G, et al. Updated guideline on the management of common bile duct stones (CBDS). Gut. 2017;66(5):765-782. https://doi.org/10.1136/gutjnl-2016-312317

[3] Agresta F, Campanile FC, Vettoretto N, et al. Laparoscopic cholecystectomy: consensus conference-based guidelines. Langenbecks Arch Surg. 2015;400(4):429-453. https://doi.org/10.1007/s00423-015-1300-4

[4] Pesce A, Palmucci S, La Greca G, Puleo S. Iatrogenic bile duct injury: impact and management challenges. Clin Exp Gastroenterol. 2019;12:121-128. https://doi.org/10.2147/CEG.S169492

[5] Halbert C, Altieri MS, Yang J, et al. Long-term outcomes of patients with common bile duct injury following laparoscopic cholecystectomy. Surg Endosc. 2016;30(10):4294-4299. https://doi.org/10.1007/s00464-016-4745-7

[6] Jaunoo SS, Mohandas S, Almond LM. Postcholecystectomy syndrome (PCS). Int J Surg. 2010;8(1):15-17. https://doi.org/10.1016/j.ijsu.2009.10.008