Appendicitis is a very common acute abdominal condition. About 8% of the population will encounter this disease in their lifetime. So does pediatric appendicitis always require an operation? The standard treatment is appendectomy, which is now mostly done using a minimally invasive laparoscopic approach. However, when a child has appendicitis, it depends on the type of appendicitis. In general, surgery is necessary for acute suppurative appendicitis, or more severe cases. In children, because the large omentum is not very well developed and has a poor ability to wrap around limitations; because the appendix is funnel-shaped and the appendix wall is thin, it is prone to perforation and diffuse peritonitis throughout the abdomen, so early surgery is generally recommended. If the appendicitis is simple or has passed the acute stage and can be improved by medical infusion, then observation can be considered, but surgery can also be considered. Or surgery is needed if there is a recurrence after improvement, not repeated conservative treatment. Removal of the inflamed appendix is still the gold standard of mainstream treatment in any country, whether at home or abroad. However, some studies have reported that some early appendicitis can be treated conservatively with antibiotics. So-called early appendicitis is defined as the absence of perforation, swollen appendix less than 10 mm in diameter, and clinical symptoms for more than 48 hours.