The reasons why minimally invasive surgery is not recommended for appendicitis may include a history of abdominal surgery and acute perforated appendicitis. 1. History of abdominal surgery: If the patient has undergone abdominal surgery (such as resection of malignant tumors of the colon), it is likely that abdominal adhesions will occur after surgery, at this time, if laparoscopic appendicitis resection is performed, there may be difficulties in finding the appendix with the luminal scope, prolonging the operation time and increasing the surgical risk of the patient, etc., so an open surgery will be chosen. 2. Acute perforated appendicitis: appendiceal wall necrosis, high pressure in the lumen, high risk of laparoscopic surgery, the use of open surgery to facilitate the exploration and exclusion of other gastrointestinal perforating diseases, but also to facilitate the rinsing and drainage. With the maturity of laparoscopic technology, more and more patients with appendicitis undergo laparoscopic appendectomy, which has the advantages of less trauma and faster recovery. Therefore, when the diagnosis of appendicitis, the specific laparoscopic appendectomy or open surgery to remove the appendix, the doctor needs to be based on the condition of the comprehensive analysis of the decision.