Purpose: The surgical approach for treating symptomatic gallbladder disease has shifted globally towards performing urgent laparoscopic cholecystectomy within 7 days of symptom onset. This change has led to fewer biliary complications, shorter hospital stays, fewer readmissions, and overall lower medical costs compared to delayed surgery. This research aims to investigate the negative impact of delaying emergency laparoscopic cholecystectomy on patient outcomes while highlighting the financial implications on healthcare facilities. Methodology: Retrospective analysis of prospectively collected data through SSWLHD Campbelltown Hospital database. We included all patients who underwent emergency laparoscopic cholecystectomy in the years 2022-2023. Results: 206 patients underwent emergency laparoscopic cholecystectomies at our centre in the years 2022-2023. 77.7% underwent emergency surgery within 7 days of symptom onset (early), while 22.3% underwent surgery >7 days from symptom onset (late). Those who underwent early surgery had shorter hospital stays (4.73 days vs 6.03 days) and operation times (116.4 mins vs 137.4 mins). Early surgery resulted in a lower rates of intraoperative haemorrhage (10% vs 17.4%), failure of intraoperative cholangiogram (35% vs 39%), and surgical drain requirement (65% vs 82.6%). Furthermore, early surgery resulted in less subtotal cholecystectomies (2.5% vs 8.7%) and postoperative ERCP (11.25% vs 21.7%). Bile leaks and conversion to open rates were not statistically significant. There was a single mortality in the early surgery group which was due to non-surgical complications. Conclusion: Our study highlights the benefits for both patients and financial institutions of performing early emergency laparoscopic cholecystectomy for symptomatic gallbladder disease. Our findings support the importance of implementing strategies to minimise delays in emergency laparoscopic cholecystectomy, ultimately improving patient outcomes and reducing the financial burden on healthcare organisations.