With appendiceal fecaliths, smaller stones are usually not serious, and if they are larger, they may be serious. Smaller fecaliths do not require treatment, and larger fecaliths require therapeutic measures. 1. Not serious, do not need treatment: if the smaller fecal stone, the body does not have any independent uncomfortable symptoms, does not affect the physiological function, may with the peristalsis of the appendix discharged into the intestinal lumen, through the feces out of the body, this situation is not serious, generally do not need treatment. 2. serious, need treatment: fecal calculus is large, can be embedded with the appendiceal lumen, induced acute appendicitis, need to take timely surgical and other therapeutic measures. Can take laparoscopic appendectomy, or through the traditional open surgery to remove the appendix. Postoperative treatment with appropriate anti-infectives (e.g. ceftriaxone sodium, levofloxacin, etc.) is also required. Appendicitis due to appendiceal fecalith impaction requires prompt medical attention and treatment as prescribed.