BACKGROUND Pediatric acute cholecystitis is a growing concern due to rising childhood obesity rates and associated metabolic abnormalities. AIM To identify demographic and clinical risk factors, evaluate surgical outcomes, and analyze the impact of complications on hospitalization in pediatric patients undergoing cholecystectomy. METHODS A retrospective study was conducted on 12750 pediatric patients who underwent cholecystectomies in 2022. Data were collected from a de-identified National Surgi