Laparoscopic appendectomy is one of the commonly performed procedures in general surgery. In cases with typical clinical manifestations, such as acute metastatic right lower abdominal pain with gastrointestinal symptoms; right lower abdominal pressure pain with or without right lower abdominal intra-abdominal mass; swollen appendix on ultrasonography, inflammatory mass or abscess at the appendix site; the diagnosis is mostly uneventful and the treatment outcome is excellent. However, conventional appendectomy is indicated for both patients with acute appendicitis and also includes some patients with intermittent right lower abdominal pain. After a large number of appendectomies, it was found that the results of this procedure had two problems: first, acute appendicitis was prone to wound infection after surgery, and second, the diagnosis of patients with “appendicitis” was prone to misdiagnosis or omission. Although a variety of imaging methods are available to reduce diagnostic errors and the use of anti-anaerobic drugs can reduce wound infections, these two problems have not been completely solved. Due to the use of laparoscopy, all organs in the entire abdominal cavity can be viewed directly, not only the appendix can be found, but also other organs in the pelvis can be examined for abnormalities, preventing the missed diagnosis of other diseases, performing appendectomy such as exploratory bursa retrieval, pus removal is convenient and thorough, and the incidence of postoperative intestinal obstruction is low. The wound infection rate is low, the pain is light, and the incision is concealed and beautiful. Laparoscopic appendectomy has become a common and relatively simple laparoscopic surgical procedure.