The presence of the gallbladder in a parastomal hernia is exceeding rare. We present the case of a 75-year-old female with a parastomal hernia complicated by presence of the gallbladder. The patient was managed with surgical intervention to repair the hernia and reduce the gallbladder to its correct abdominal position without cholecystectomy. She recovered well from her surgical repair, and was recurrence free at her 6-month outpatient visit. This is the one of seven reported cases of parastomal gallbladder herniation and fits with known pre determinants of advanced age and being female. We present this case due its interesting and novel nature.