Natural Orifice Translumenal Endoscopic Surgery: Laparoscopic-Assisted Transvaginal Cholecystectomy

Inclusion Criteria: * Females who are postmenopausal or who no longer wish to bear children * Females \>25 years old and \<65 years old * Diagnosis of biliary disease requiring cholecystectomy * American Society of Anesthesiology (ASA) Class I or II * Females who are able to understand and willing to sign an informed consent document Exclusion Criteria: * Pregnancy * BMI \>= 30 * Patients who are still interested in childbearing * Patients taking immunosuppressive medications or who are immunocompromised * Patients with acute cholecystitis or history of acute cholecystitis ( as defined by right upper quadrant pain with history of fevers and/or elevated white blood cell count and/or positive ultrasound findings, ie, gallbladder wall thickening or pericholecystic fluid) * Patients with suspicion of gallbladder cancer * Patients with history of previous open abdominal surgery * Patients with untreated common bile duct stones