For the level of the appendiceal surgical incision, both the traditional transcutaneous McKenichen point incision and the minimally invasive perforation require passing through the skin, subcutaneous tissue, fat, superficial fascia, rectus abdominis sheath, oblique tendon membrane, and structural tissues such as deep fascia and peritoneum in order to enter the abdominal cavity in search of the appendix. Minimally invasive is now recommended for appendicitis surgery because it requires the creation of a gas environment in the abdominal cavity to create space for surgery. Trans-Maxillary surgery may encounter cases of ectopic appendix, which may be at the lower margin of the liver or even deep into the abdominal cavity, and it is difficult to find the incision that needs to be enlarged as a way to find the appendix through a traditional myectomy. This is well avoided with a minimally invasive laparoscopic appendectomy, which allows a direct search throughout the abdomen and also allows observation of other organ structures in the abdomen for any abnormalities.