Having done many cases of laparoscopic appendectomy, the one yesterday made me feel more relaxed than ever before and gave me a new understanding of laparoscopic appendectomy. The patient is a student from this city who went to university in a big city abroad. She had many appendiceal attacks in the past, and this time she had another attack during her school days and went to a famous local university medical school. When I saw that her pain symptoms had improved with symptomatic treatment, I did not force her to have surgery, but the family firmly requested it, after all, they had committed it many times. I have to say here that there are statistics that say that 70% of reoccurrences of appendicitis after one episode of conservative treatment are really in line with clinical practice. In fact, for a non-specific appendix, typical symptoms and physical examination by a skilled physician are far more direct than waiting in line for an ultrasound with the patient’s belly covered, and when the ultrasonographer sees the enlarged appendix, the appendix is most likely already in bad shape. A hundred percent diagnosis rate is impossible since the pathology results, the doctor is critical to grasp the indications for surgery, clear indications for surgery, even if there is a small rate of misdiagnosis, but most of the other problems that require surgery. Well, back to the topic, noon hospitalization, the afternoon appointment laparoscopic appendectomy table, I did a slow surgery after receiving the table has been more than four o’clock, originally received the table nurse is not very reluctant, estimated to delay home cooking, that thought of the mirror into the appendix although the inflammation is obvious, but relatively free, not very thick, by hand from the trocar inside the appendix out of the body, three times, two. The nurses were all smiles and I was very relaxed. I went to see the patient this morning and walked her down the hallway. I checked her abdomen and told her to eat something and told her she could be discharged tomorrow. Although the appendix is rarely done in these years, but still to sum up: appendix should be opened early, good for you, the doctor, the effect is also good, and that is, you believe in a doctor, he will also try to afford your trust.