My child had a stomachache and went to the hospital. The doctor said it was acute appendicitis, how should I treat it? Do I need surgery? Unlike adults, the appendix in children is short in length and has a thin intestinal wall, so it is more likely to be complicated by perforation and needs to be treated promptly. If the disease is long and an appendiceal abscess has formed (a mass can be palpated on examination and imaging can aid in the diagnosis), conservative treatment should be given first, followed by surgery after a period of time. For the treatment of acute appendicitis, minimally invasive (laparoscopic) surgery has the following obvious advantages: 1. small trauma, generally a small hole in the umbilicus, left and right abdomen, almost invisible scars after surgery, fast recovery and short hospital stay; 2. low incision infection rate, especially for perforated appendicitis more easily contaminated wounds; 3. conducive to flushing in the abdominal cavity under direct vision, thus the possibility of intestinal adhesions is lower; 4. The possibility of intestinal adhesions is lower; 4. In some cases, the symptoms of appendicitis are atypical or other diseases are suspected, the whole abdominal cavity can be explored through laparoscopy, which facilitates diagnosis and treatment. The child has formed an appendiceal abscess and the doctor said not to operate at the moment, so will surgery be needed later? In case of acute appendicitis with abscess formation, conservative treatment is usually taken first, and minimally invasive surgery is chosen when the abscess disappears (which can be monitored by ultrasound or CT examination) in 8 to 12 weeks. Chronic appendicitis after conservative treatment has a high incidence, especially in children with appendicular fecal stones, with a recurrence rate of up to 80%, and is prone to perforation when recurring, with a fast progression of the disease and a high surgical difficulty. Therefore, surgical treatment is still recommended for chronic appendicitis.