This review discusses anatomical facts that are of relevance to the performance of a safe cholecystectomy. Including newer insights into the role of anatomic illusions as well as the role of a system-based approach to preventing injuries.

A 59-year-old lady presented with iron-deficiency anemia secondary to occult gastrointestinal bleeding, which had needed multiple transfusions over five years. Bowel resection was performed. The patient continues to be well two months after the surgery without bleeding or drop in hemoglobin.