Appendicitis is the most common acute abdomen in surgery, and in people’s perception appendectomy is a minor surgery, so when doctors tell patients that appendicitis requires surgery, it is very customary to accept the traditional caesarean appendectomy. Some statistics show that: the first of the cases of adhesive bowel obstruction caused after surgery is caused by appendicitis after surgery; purulent appendicitis with purulent exudate in the abdominal cavity has an incisional infection rate of 5%-10%, and the incisional infection rate of perforated appendicitis can be as high as 30%. Due to the location of the incision, incomplete cleaning of abdominal pus causes abdominal abscess; misdiagnosis of appendicitis as appendicitis requires another incision, which increases the patient’s pain; postoperative pain caused by tearing of the abdominal wall muscles and atrophy of the abdominal muscle due to nerve injury of the abdominal wall causes incisional hernia and inguinal hernia, etc. have been reported. Laparoscopic appendectomy requires only three small incisions (1 cm, 0.5 cm, 0.5 cm) in the abdominal wall, which are concealed in the umbilicus and lower abdomen and have a cosmetic effect; there is no need to tear the abdominal wall muscles, which causes little damage and minor postoperative incisional pain; laparoscopy has a magnifying effect, a wide field of view, clear exploration, and is not easy to misdiagnose and miss, if other lesions are found intraoperatively (ovarian cysts, intestinal tumors, gastric perforation If other lesions (ovarian cysts, intestinal tumors, gastric perforation, etc.) are found intraoperatively, the operation can be performed directly under the laparoscope without making another incision; the laparoscope can explore all corners of the abdomen and cleanse the pus thoroughly, so there is less chance of abdominal infection, and the incision is not in direct contact with pus, so the incision infection rate is low; laparoscopic surgery has less interference with the intestine, small incision and less chance of infection, so the incidence of intestinal adhesion is low. Laparoscopic appendectomy should be used as the first method for appendectomy.