Inclusion Criteria:  Morbid obese patients with BMI ≤30 KG/M2 and ≥ 40 9kg/m2 with symptomatic uncomplicated gall stones, ASA 1-3.  Exclusion Criteria:  Acute calcular cholecystitis, BMI ≥45, ASA 4 or higher, length of stay more than 1 day.  Patients required additional trocars for patient safety, readmission,