If the fecal stone in the appendix does not cause relevant clinical symptoms, it can be observed and followed up first. If there are symptoms of obstruction leading to acute appendicitis, etc., it is necessary to perform immediate surgical resection, removing the appendix and removing the fecal stone at the same time, as well as anti-infective treatment. Appendiceal fecaliths are formed when food debris passes through the stump at the root of the appendix and enters the appendiceal cavity. There is usually a chance that it can be expelled by the appendix into the intestines. Patients with no clinical symptoms can be treated conservatively, but appendiceal fecaliths can easily cause appendiceal obstruction leading to bacterial infection and appendicitis. If there are symptoms of acute appendicitis, such as metastatic lower right abdominal pain, etc., we need to consult a doctor in time, laparoscopic appendectomy and active treatment, and after the operation, we should give intravenous cefuroxime, levofloxacin and other antibiotics, and rehydration and other treatments. If appendiceal fecaliths cause related symptoms, you need to consult a doctor in a timely manner, under the guidance of the doctor to carry out standardized treatment, to avoid delaying the time of treatment.