This video demonstrate Laparoscopic cholecystectomy in patients with ventriculoperitoneal Shunt and adhesion performed by Dr. R.K. Mishra at World Laparoscopy Hospital. Laparoscopic surgery in adults with established VP shunts utilizing routine anesthetic monitoring appears to be safe. Currently there is no evidence to suggest that clamping or externalization of the catheter is necessary. A neurosurgery consult prior to surgery to verify the proper functioning of the VP shunt is recommended.