In the past decade, the number of laparoscopic appendectomy cases we have performed has increased year by year, reaching basically more than 100 cases per year in the past two years, with laparoscopic appendectomy performed on almost every 3-5 days, compared to approximately no more than 10 cases per year of traditional open surgery. Why is laparoscopic minimally invasive surgery becoming more and more dominant? Actually, it is closely related to several features it has. Minimally invasive surgery has many advantages over traditional surgery. Although minimally invasive surgery usually takes longer, patients suffer significantly less postoperative pain and recover quickly from their condition. Nowadays, a large number of general surgical procedures can be done through minimally invasive routes, such as laparoscopic appendectomy, laparoscopic cholecystectomy, laparoscopic intestinal adhesion release, laparoscopic radical surgery for colon cancer, etc. The main advantage of laparoscopic appendectomy over traditional methods is the ability to perform laparoscopic diagnosis and comprehensive abdominal exploration through small trocars, by which acute appendicitis or other diseases, especially pelvic inflammatory diseases, can be easily and clearly diagnosed, whereas if the classical McKinsey incision is used, it is almost impossible to do so without significantly lengthening the incision. Retrospective randomized clinical studies in the world in recent decades have shown that patients undergoing laparoscopic appendectomy have mild postoperative pain, short hospital stays, and rapid recovery. This is associated with its smaller abdominal incision and less intra-abdominal tissue damage. The laparoscopy allows in situ removal of the appendix, whereas in conventional surgery the appendix needs to be lifted outside the incision for removal, avoiding contamination of the incision and the surgeon’s hands, so the incision infection rate is much lower in laparoscopic surgery. Incisional infections can lead to significantly longer hospital stays and are a major complication after appendectomy, requiring multiple dressing changes and incisional care. Of course it will take some time before laparoscopic appendectomy becomes accepted as a standard procedure. However, this procedure is gaining acceptance by clinicians and many patients.