1. Patient-doctor communication Appendicitis is usually acute in onset, and the onset of abdominal pain can usually be accurately described. The caveat is to tell the doctor both the past medical history and any recent physical abnormalities that have occurred, giving the doctor enough clues to help make a judgment. For example, an accurate menstrual history in a young woman can help consider the possibility of an ectopic pregnancy, which may not require an HCG test to rule out; if the patient tells the doctor that she has recently found a mass in her lower right abdomen, the doctor will consider the possibility of a colon tumor combined with appendicitis. If an elderly person has a history of heart attack or coronary artery disease, the doctor will be more careful in choosing the treatment. 2.Treatment Appendicitis treatment is divided into conservative treatment and surgical treatment. Generally there are no special contraindications and doctors will recommend surgery as the preferred treatment. Many patients are afraid of surgery and prefer conservative treatment. Clinically, there are many cases where conservative treatment completely relieves the symptoms, but the risk is that the condition worsens during conservative treatment and surgery is still needed, and there is a possibility of re-occurrence in the future. If a periappendiceal abscess has been formed, the treatment means and the ending are more complicated, and more communication with the doctor is needed. 3.Is open surgery better? Or laparoscopic surgery? My personal record is that I did five appendectomies a day when I was a chief resident, and the highest record I ever saw was seven appendectomies a day, which shows the high morbidity rate, huh? But now I would generally recommend laparoscopic appendectomy to patients. Traditionally, the appendectomy is performed under epidural anesthesia with a right lower abdominal incision. Now many hospitals are able to perform laparoscopic appendectomy with three small 5-10mm incisions in the abdomen. The advantages of laparoscopic appendectomy are: when it is difficult to distinguish from other diseases and there is already an indication for surgery, exploration and surgery are extremely advantageous, which is a great protection for both the patient and the surgeon; general anesthesia surgery, no pain for the patient during the operation; small trauma and fast recovery.