Laparoscopy offers the surgeon better visibility for performing an appendectomy, which is to the advantage of the child. When the appendix is normal, the offending etiology usually can be managed through the same cannulas. With proper judgment and training, the laparoscopic technique can be used on almost any patient suspected of appendicitis. The ease of the technique, coupled with the decreased postoperative morbidity and shorter hospitalization, make the laparoscopic operation an important addition to the surgical armamentarium for managing acute appendicitis.