Gallbladder cancer is the most aggressive biliary tumour, associated with poor median survival rates. Complete surgical resection is only feasible for patients diagnosed at an early stage. Majority of patients present with advanced disease, necessitating a multidisciplinary management approach. Nodal, hepatic, peritoneal, and incision site metastatic disease are common, with gall bladder tumours demonstrating a high propensity to recur in the abdominal wall. The significance of imaging in gallbladder cancer is immense with ultrasound (US), CT and multi-parametric MRI playing a vital role in staging, management, and intervention.