Stabbing pain like pins and needles in the right lower abdomen is not excluded as a result of appendicitis. Appendicitis is a very common surgical emergency with a very high incidence, and the typical symptom is metastatic right lower abdominal pain. If there is a history of appendicitis, which improves after anti-inflammatory treatment, the pain on the right side of the lower abdomen can be triggered after exertion or overeating or after catching a cold, which is similar to the pain of pins and needles, especially when the mural peritoneum is stimulated by inflammation. The most effective treatment is the surgical removal of the appendix, which is usually performed under epidural anesthesia. In the postoperative period, anti-infective treatment is required, with regular monitoring of changes in laboratory indicators and early departure from bed.