Lethargic, long time sleeping on the couch, loss appetite, frequent vomiting and crouching her back as a sign of abdominal pain. As a result of the clinical examination, a foreign body was on the top of the diagnosis. 1. X-ray was done, no obstructive pattern were determined in the intestine and no foreign body was confirmed. 2. Two big strong radio-opaque circle mass were detected in the Gall bladder area and the bile duct near duodenum. 3. Blood tests were performed, CBC was unremarkable and Comprehensive results showed Bilirubinemia (1.3 mg/dl) despite the cat was not Icteric, high levels of ALP (146 U/L) and ALT (1045 U/L). The X-ray procedure was repeated with barium, cholelithiasis were confirmed in the area of ​​​​the gallbladder and the bile duct. Therefore, surgical intervention was mandatory. A cholecystectomy and extirpation of the proximal part of the cystic duct (where the stones were lodged) were performed after emptying it from the bile secretions and the stones. The surgical intervention aimed to keep the function of the common bile duct CBD between the liver and the duodenum to ensure the continued delivery of liver secretions and bile to the duodenum to aid digestion and fat emulsification. The operation was performed under general anesthesia using: Diazepam, Butraphanol, ketamine, and maintained with inhalation Isoflurane. Liffey was kept postsurgicaly on fluid therapy, IV Cefotriaxone, Metronidazole and Liver support. Pain killer was provided as well. Liffey was prescribed a low-fat diet with Liver support lifelong. Liffey's situation now is stable and her activity already returned to normal 👍👌 Thank you my great team 🤝👍