This case study walks through the steps of using intraoperative ultrasound in a laparoscopic cholecystectomy procedure performed by Mr. Somaiah Aroori, MB BS, MS (Surg), FRCS (Gen Surg), a consultant hepatobiliary and renal transplant surgeon at Derriford Hospital and University Hospital Plymouth in the UK. Throughout the procedure, bkActiv provided real-time information that cannot otherwise be obtained from preoperative imaging.