It is common knowledge that acute appendicitis is a minor disease and appendectomy is a minor surgery. In terms of probability, the above statement is also true. However, for chronic appendicitis, due to the fear of surgery and ignorance of appendicitis, people like to delay and delay, which often affects their work and life even more. Uncle Chen, a tour guide, is a typical example: he was diagnosed with chronic appendicitis 2 years ago and had 3 episodes over the past 2 years, all of which were treated with a hangnail to reduce inflammation, and the first few times he was lucky enough to be off work. Although the doctor repeatedly recommended that he do surgery, Uncle Chen himself still can not make up his mind. Tonight, after the company dinner, Uncle Chen again felt a burst of vague pain in the right lower abdomen, “Oh no, it must be another appendicitis attack! This ‘time bomb’ how early not to sound late not to explode, but to take the group to fly abroad tomorrow in the nick of time smoke! Uncle Chen, who has been sick for a long time, has a big head! There is a Chinese saying that “prevention is better than cure”, for chronic appendicitis, we should have further understanding and proper handling. The appendix is connected to the cecum at one end and is about 6-8cm long with a narrow lumen of only 0.5cm. The wall of the appendix is rich in lymphatic tissue, which constitutes the anatomical basis for the appendix to be highly inflammatory. This anatomical feature also makes it easy for the appendix to become obstructed. About 70% of patients can be found to have different causes of obstruction in the appendiceal lumen, such as fecal lumps, fecal stones (i.e. long-staying fecal lumps mixed with appendiceal secretions, and can have calcium and other minerals deposited), food debris, distortion of the appendix itself and parasites (such as roundworms and pinworms), etc. can cause appendiceal obstruction. After the inflammation of acute appendicitis subsides, scarring stenosis can form in the appendix, which can easily lead to recurrent inflammation. The presence of abundant lymphoid tissue in the appendiceal wall and the severe inflammatory response contribute to the occurrence of obstruction. When there is an obstruction at the exit of the appendiceal cavity, the pressure in the cavity distal to the obstruction rises, the blood circulation of the appendiceal wall is affected, and the damage to the mucosa creates conditions for bacterial invasion. Sometimes, although fecal lumps, food remnants, parasites and foreign bodies in the appendiceal cavity do not cause obstruction, they can cause mechanical damage to the appendiceal mucosa and facilitate bacterial invasion. In addition, gastrointestinal dysfunction can also cause spasm of the muscles in the appendiceal wall, which can affect the emptying of the appendix and even the blood circulation of the appendiceal wall, which is also a cause of inflammation. Bacteria can invade the appendix via the blood circulation and cause inflammation, which is a hematogenous infection. After acute appendicitis is treated non-operatively or self-healed, about 1/4 of the appendiceal wall remains with fibrous tissue hyperplasia and thickening, luminal narrowing and surrounding adhesions, resulting in intermittent vague pain or distension in the right lower abdomen, sometimes heavy, sometimes light, in a fixed location, and often with pressure pain in the right lower abdomen. In most patients, abdominal pain is triggered after a full meal, exercise and prolonged standing. There may be episodes of acute appendicitis during the course of the disease. Very few patients with chronic appendicitis have no history of acute attacks and no recurrent acute attacks during the course of the disease. The symptoms of acute attacks of chronic appendicitis are similar to those of acute appendicitis, and there is also the possibility of septic peritonitis and perforation. However, right lower abdominal pain can be associated with no less than 50 different diseases, especially in female patients, and is often mixed with gynecological diseases. If a patient has no history of acute appendicitis but complains of recurrent right lower abdominal pain, it is not advisable to diagnose chronic appendicitis and remove the appendix easily, but barium enema and colonoscopy should be performed to understand the condition of the appendix and to exclude other ileal diseases such as tumor, tuberculosis, non-specific appendicitis, Crohn’s disease and mobile appendicitis. The symptoms may not be eliminated even if there are no other pathologies. After the diagnosis of chronic appendicitis, the only way to cure it completely is to remove the diseased appendix surgically. As for appendectomy, it should be possible at any time, but the risk of wound inflammation is relatively high during acute attacks, so it is better to operate after the inflammation is controlled. Previously, the surgery was performed by using a scalpel to make an incision in the stomach, which was a large wound and made it difficult to see the entire abdominal cavity. The laparoscopic lens can rotate 360° in the abdomen and explore the entire abdominal cavity, so it is safer to do the relevant diagnostic tests before laparoscopic exploration and laparoscopic removal of the appendix after it is determined that no other diseases are apparent. Each patient should be followed up for a period of time after surgery to see the actual outcome after removal of the appendix. Patients with doubtful diagnosis or elderly patients with severe coexisting disease should be temporarily treated non-operatively and followed up in the outpatient clinic. In case of acute attack, one should take medication and injections to reduce inflammation; one should maintain an optimistic spirit in daily life. Bad emotional stimuli such as sadness, depression, irritation, grief and other emotional changes can easily break the balance of the human nervous system and lead to nervous disorders, especially plant nerve disorders. The manifestation of phytodisorders is multifaceted, and the malfunction of the gastrointestinal tract is one of its common manifestations. Under the effect of mental stimulation, spasm and relaxation of the gastrointestinal tract occur, leading to indigestion, constipation, diarrhea, etc., which can induce appendicitis. Therefore, you should maintain a good mental state, optimism and cheerfulness. You should be able to take things in stride, not to be calculating but to take it in stride, and avoid drastic emotional changes. Pay attention to dietary regulation, prohibit the consumption of alcohol, avoid eating raw, cold, spicy food. Eat less fried and indigestible food. Avoid overeating, eat less and more meals. Prevent excessive fatigue. Because overwork will make the body’s ability to resist disease decline and lead to a sudden aggravation of the disease. Be careful with drugs, especially cold and flu medicine, such as antipyretic and anti-inflammatory drugs, gastrointestinal stimulation, and in serious cases can cause gastrointestinal bleeding or even perforation, it is best not to use or use less. Adjust the cold temperature. Pay attention to the seasons, climate change, timely adjustment of their own body and the relationship between nature, hot days, reduce clothing, cold days, increase clothing, especially to ensure that the abdomen from cold stimulation, to maintain the normal functional state of the gastrointestinal tract. Of course, no one wants to have a bomb explode in their body at the wrong time, so chronic appendicitis should be cut as soon as possible!