Laparoscopic appendicitis surgery with generally includes the following aspects: First, anesthesia, usually, laparoscopic appendicitis resection is performed under general anesthesia, so attention should be paid to the observation of the patient’s anesthesia, and the general condition should be maintained with good muscle relaxation. Also pay special attention to the fact that patients with heavy appendicitis in general are prone to infectious shock, so the patient’s vital signs should be closely observed during the operation, especially if shock occurs, rehydration and volume expansion should be given in a timely manner in order to allow the patient to undergo the operation in a safe environment. Second, the instruments should be prepared for the surgery, and the ultrasonic knife can be used with the doctor if necessary, so that the patient can complete the surgery as soon as possible. Third, if the patient is awake after the operation, he or she can be extubated and, if necessary, go to the recovery room for recovery to prevent the patient from suffocation or misaspiration after the operation. Fourth, special attention should be paid to the observation of the patient’s oxygen saturation so that the patient can recover well.