Laparoscopic cholecystectomy (LC) and Total Extraperitoneal (TEP)/Transabdominal Preperitoneal (TAPP) repair have established themselves as standard and popular surgeries for gallstone disease and groin hernia, respectively. However, their concurrent performance for co-existing gallstone disease and groin hernia has seldom been studied. This retrospective observational study was conducted at the Department of General and Laparoscopic Surgery, Dr. L H Hiranandani Hospital, Mumbai, India, from March 2008 to July 2025. Over 18 years, 24 patients with co-existing gallstone disease and primary or recurrent groin hernia underwent concurrent LC and TEP/TAPP repair in a single sitting. The outcomes studied included duration of surgery, intra- and postoperative complications including mesh infection, duration of hospital stay, hernia recurrence, time to resume normal activity, and treatment cost. The mean age of the patients was 66 ± 9.7 years (range 50–87 years), and the average duration of surgery was 55 ± 10 minutes (range 40–75 minutes). There was no conversion to open surgery. The mean postoperative hospital stay was 1.5 ± 0.5 days. Four (16.67%) patients developed small seromas on day 10, all of which resolved with conservative management within six weeks. No patient experienced significant haemorrhage, superficial or deep surgical site infection, mesh infection, or hernia recurrence. Patients resumed normal activity within an average of 5 days. Concurrent treatment reduced the total cost by 25% compared to performing both procedures separately. These findings suggest that concurrent LC and TEP/TAPP is a safe, practical, and cost-effective procedure in carefully selected patients.