It is not an uncommon scenario to have CBD stones in association with gallbladder stones. There is a general agreement in the surgical society that CBD stones should be removed. The classic option is to do open cholecystectomy and CBD exploration. With the emergence of minimally invasive surgery, namely laparoscopic cholecystectomy and ERCP, the therapist has better option to treat such patients such as preoperative ERCP, postoperative ERCP, and laparoscopic CBD exploration. The latest advance in that field is the use of ERCP at the time of laparoscopic cholecystectomy, i.e. intraoperative ERCP. This chapter with discuss the issue of minimally invasive management of cholecystocholedocholithiasis stressing on intraoperative ERCP.