Gastric outlet obstruction (GOO) is not considered a single entity; rather it is the clinical consequence of any disease process that produces blockade to gastric emptying. A study shows that only 37% of patients with GOO have benign disease and the remaining patients have obstructions due to malignancy. Gossypibomas most commonly occur following abdominal and gynecological surgery and generally require re-operation as soon as they are diagnosed as complications and morbidity are high. We report a case of retained surgical sponge after open cholecystectomy causing gastric outlet obstruction.