Acute appendicitis care generally includes the following four aspects: 1, psychological care, patients with appendicitis often have fear, nervousness, anxiety because of pain, or anxiety after the doctor informed the need for surgery, nursing staff should strengthen communication with patients and their families, make patient answers to the disease, eliminate patients’ doubts, relieve psychological pressure, so that patients enhance their confidence to overcome the disease. 2, pain care, for abdominal pain serious patients can be allowed to adopt a semi-recumbent or slope position to reduce muscle tension, can relieve pain, for the diagnosis of clear, severe abdominal pain can be given painkillers under the doctor’s orders. 3, intestinal preparation care, most patients with appendicitis need surgery, before surgery, patients should be allowed to fast and abstain from water to prevent vomiting during surgery. 4, the Observation care of the disease. After surgery, the patient’s vital signs should be closely observed, the patient’s respiration, body temperature, pulse, blood pressure, and the patient’s complexion as well as mental condition should be monitored. If abnormalities occur, report them to the doctor on duty in a timely manner.