Background: A minimally invasive approach to umbilical hernia defects repair simultaneous with cholecystectomy offers an attractive alternative to traditional open surgery; however, concerns regarding feasibility, safety, cost effectiveness, and outcomes must be considered. Aim of work : Evaluation of the technical feasibility of combined umbilical defects repair with laparoscopic cholecystectomy by different techniques depending on the size of the defect. Patients and Methods: Laparoscopic cholecystectomy accompanied with umbilical hernia repair was attempted in 50 patients classified into two groups : Laparoscopic cholecystectomy with anatomical closure using endoclose in patients with defect size < 3 cm (Group 1), or with onlay mesh hernioplasty in patients with defect size ≥ 3cm (Group 2). Results: The operative time, length of hospital stay and the time needed to return to work were more prolonged in the 2nd group. The defect size and the air leak during insufflation affected significantly the operation time and length of hospital stay. Post operative pain and complications were more in the 2nd group. Obesity (BMI>30) and co-morbidities are important factors for development of complications. Conclusion : The operative time, postoperative pain, length of hospital stay, wound infection and the time needed for return to work are less in patients underwent primary anatomical repair of umbilical hernia using endoclose device than patients underwent flat onlay mesh hernioplasty after laparoscopic cholecystectomy, however, this was accompanied by a higher rate of recurrence. Keywords: Hernia repair, laparoscopic cholecystectomy, umbilical hernia, endoclose, onlay mesh hernioplasty.