There is no absolute good or bad way to operate for appendicitis in pregnancy, and the surgical method needs to be analyzed and decided according to the specific condition, for example, the Mai’s incision can be taken in the early stage of pregnancy. Once the diagnosis of acute appendicitis in pregnancy is made, surgery is recommended regardless of the period of pregnancy, and caesarean section is recommended for those who are highly suspected of acute appendicitis in the middle or late stages of pregnancy. Blind conservative treatment or delayed surgery will not only delay the condition, but also cause perforation or acute diffuse peritonitis and increase the incidence of maternal and infant morbidity and mortality. Early pregnancy can take Mai’s incision, middle and late pregnancy to take the obvious pressure point, if the diagnosis is not clear, the lower abdominal median longitudinal incision, convenient intraoperative operation and exploration. Intraoperative operation is gentle to avoid uterine irritation. It is not recommended to leave an abdominal drain in the postoperative period because it can irritate the uterus and bring negative consequences, but an abdominal drain can be placed in case of complicated appendiceal perforation and severe peritonitis. In principle, surgical management of appendicitis is not accompanied by a cesarean section, but if the fetus is almost mature or there are signs of obstetric emergencies, appendiceal perforation complicated by diffuse peritonitis, uterine and pelvic infections, a cesarean section followed by appendicectomy should be performed. When appendicitis in pregnancy occurs, it is recommended to go to the hospital in time to avoid delay.