Combined laparoscopic appendectomy and cholecystectomy produces good outcomes than either procedure performed independently, with a not increased incidence of wound complications and morbidity. Overall, however, patients who undergo simultaneous procedures appear much faster recovery. Further investigation is needed to define appropriate indications for these concomitant procedures as well as to identify the key factors that determine outcomes. An operative experience of three patients who underwent incidental laparoscopic appendectomy during laparoscopic cholecystectomy is presented. The technique and indications is shown in this video. We conclude with our experience that incidental laparoscopic appendectomy is possible and safe with existing incisions performed in gallbladder surgery. However, well-controlled prospective studies should be performed prior to wide application of this technique.