The risk of conservative treatment of suppurative appendicitis is high and surgery is recommended. If conservative treatment is used. First, in the choice of antibiotics, use second-generation cephalosporins or third-generation cephalosporins, combined with anti-anaerobic drugs, such as metronidazole, tinidazole or ornidazole. Second, eat more liquid food or semi-liquid food to reduce the burden on the gastrointestinal tract. Third, pay attention to the observation of abdominal pain, if the abdominal pain is relieved, it means that the conservative treatment is effective; if the abdominal pain is not relieved and the pain is aggravated, it means that the conservative treatment is ineffective. Fourth, we should review the blood routine and observe the situation of white blood cells, if the white blood cells are elevated, it means that the conservative treatment is not very effective. Surgical treatment is recommended to use minimally invasive surgery, i.e. laparoscopic appendectomy. There are only three puncture holes in the abdomen, which is less painful and the incision is more beautiful, and the recovery is faster.