Background and objectives: Laparoscopic appendectomy has rapidly become established as the popular alternative to open appendectomy, it has a safety profile better than open procedure.

Aim: Laparoscopic procedure for appendectomy is compared with open surgical Technique.

Methods: hospital based study from July 2022 to August 2023, involved 60 patients with Diagnosis of acute appendicitis was entered into a study randomizing the Choice of operation to either the open or the laparoscopic technique. Statistical Comparisons were performed using the chi-square test and students ‘t’ test.

Results: the mean post op pain score was 1.37±0.49 for laparoscopic and for open appendectomy is 3.27±0.828 (p<0.0001). as per complications in laparoscopic group vomiting, wound infection was more in open group (p<0.007). In the laparoscopic group, 26 (86.7%) patients were satisfied whereas only 50% were satisfied in open group.

Conclusion: Laparoscopic appendectomy was better than open appendectomy in a properly prepared and selected patient in terms of Post-operative pain, Post-operative complications like vomiting, wound infection, fever, Duration of the hospital stay, Return to the work, Cosmetic benefit.