Background: To study and compare the efficacy of closed and open method of pneumoperitoneum creation in laparoscopic surgery. Materials & Methods: The research utilized a deliberate sampling approach, concentrating on patients diagnosed with cholelithiasis who were advised to undergo laparoscopic cholecystectomy and gave their consent. The age of subjects was between 20 to 65 years. The results were analysed using SPSS software. The p- value less than 0.05 was considered significant. Results: The age group of 31-50 years witnessed the highest number of patients who underwent laparoscopic cholecystectomy using either technique. Specifically, 50% of the cases were in group A, while 60% were in group B. Conclusion: The open method for creating pneumoperitoneum is equally safe and efficient when compared to the closed technique.