Introduction Intracholecystic papillary neoplasm (ICPN) is a rare, visibly distinct lesion arising from the gallbladder lining and projecting into its lumen. It is often discovered incidentally when asymptomatic but may sometimes cause symptoms such as pain, jaundice, weight loss, or ascites. ICPN is very rarely reported in Nepal, highlighting the need for careful evaluation and management. Presentation of case We report a 63-year-old man diagnosed incidentally with ICPN during routine evaluation. The patient had no symptoms such as abdominal pain. He underwent laparoscopic cholecystectomy and recovered well without complications. Discussion ICPN is a preinvasive gallbladder tumor that can show different histologic patterns, typically appearing as papillary or polypoid growths. Imaging like ultrasound and CT can suggest ICPN, but a definitive diagnosis requires surgical removal and microscopic confirmation. Intraoperative frozen section assessment of tumor invasion and margins is helpful for surgical decision-making, as demonstrated in this case. Early diagnosis and surgery generally result in better outcomes than those seen in invasive gallbladder cancer. Conclusion Because ICPN is rare and often presents subtly, a thorough clinical workup with appropriate imaging is essential. Early surgical intervention supported by intraoperative pathology evaluation can improve prognosis and patient outcomes.