AIM OF THE STUDY: LC is now considered the gold standard in the treatment of cholelithiasis with a minimal incidence of complications, typically, bile peritoneum and hemoperitoneum. METHODOLOGY: The Authors wished to verify the possibility of treating complications after LC with a minimally invasive approach. In 1100 LCs over 8 years, they treated 9 bile peritoneum and 4 hemoperitoneum. RESULTS: It was possible to treat all 13 patients with a minimally invasive approach with a complete resolution of the complication and with no further occurrences during the follow up. CONCLUSIONS: The Authors believe that it is possible to treat the majority of complications arising after LC with minimally invasive methods. Nevertheless, a very early diagnosis and the close cooperation of an Endoscopist and an Radiologist is necessary.