Children with appendicitis do not necessarily need to undergo surgery; for example, simple appendicitis is an option for conservative treatment. However, when septic appendicitis, gangrenous appendicitis, or simple appendicitis is diagnosed, or when conservative treatment is ineffective, surgery is required, and refusal of surgery may result in the patient’s death. Appendicitis is a common abdominal disease, early simple appendicitis, can choose conservative treatment, do not necessarily have to surgery, you can use clindamycin, ceftriaxone sodium and other antibiotic drugs for conservative treatment, some of the children’s appendicitis can be controlled. But there are also some babies appendicitis conservative effect is not good, the subsequent need for surgery for treatment. However, when the diagnosis is purulent appendicitis or gangrenous appendicitis, surgical treatment is required, otherwise it may be life-threatening. Therefore, it is recommended to follow the doctor’s instructions and treatment to avoid delays, which may result in delayed and life-threatening conditions. Therefore, for children with appendicitis, whether it is necessary to do surgery, under the guidance of the doctor, according to the specific condition and severity, choose the appropriate treatment program.