The purpose of this study is to investigate the management of choledocholithiasis in tertiary care facilities. Materials and Methods: This is both a retrospective and prospective research, and it includes a total of sixty patients who were given the diagnosis of choledocholithiasis while they were hospitalized in the department of general surgery. An in-depth inquiry of these instances, including historical context, clinical presentation, and investigative findings, was carried out. Results: The investigation revealed a total of 205 instances of gallbladder stones, of which 60 individuals had choledocholithiasis, bringing the overall frequency up to 29.27%. Individuals with a body mass index (BMI) of above 25 were shown to have a 90% increased risk of developing CBD stones. On the other hand, there was not a significant association between the body mass index and the problems that are related with CBD stones. Abdominal discomfort was always present in every patient, since it was one of the symptoms that was shared by all patients. Jaundice was found in 40 individuals, which is a 66.67% prevalence rate. In all, 21 individuals (or 35%) had some degree of vomiting. Fever was detected in 18 (or 30%) of the patients. ERCP was the main method of therapy that was used. Just one patient had laparoscopic CBD exploration and stone retrieval done in addition to ERCP; the other 49 patients all received ERCP with stone removal and stenting. Ten percent of the patients experienced problems related to ERCP. As the ultimate form of treatment, cholecystectomy was performed on each and every patient. Conclusion: There was a 29.27% occurrence of CBD stone. As compared to men, incidence was more prevalent in females. The age range of 35–45 years old showed the highest frequency. Diabetes and dyslipidemia were shown to be related with increased risk for the development of complications. The most typical manifestation of choledocholithiasis was a kind of jaundice known as obstruction jaundice. After cholecystectomy, endoscopic retrograde cholangiopancreatography (ERCP) was the most prevalent treatment technique for CBD stones.