Gallbladder cancer is an uncommon but highly fatal cancer. It is most often diagnosed in patients undergoing surgery for gallbladder stones. Over 90% of gallbladder cancer patients have gallstones or chronic gallbladder inflammation. Major risk factors include female sex, older age, obesity, smoking, and gallbladder diseases. Symptoms are often vague, and many cases are diagnosed late when the cancer has spread. Surgery offers the best chance of treatment when the cancer is localized, but palliative options are usually necessary for advanced cases. Prognosis remains very poor due to late diagnosis and limited effective therapies.