Introduction: Patients who have appendicitis commonly report anorexia; appendicitis is unlikely in those with a normal appetite. Anorexia nearly always accompanies appendicitis. It is so constant that the diagnosis should be questioned if the patient is not anorectic. Methodology: 100 cases with provisional diagnosis of acute appendicitis which were posted for surgery were selected using randomization. Patients were methodically enquired according to the proforma. Results: Pain was the commonest symptom. The entire 100 patient suffered from right lower quadrant pain or periumbilical pain migrating to right lower quadrant. Migration of pain was present in 48 patients (48%) and the mean duration of pain was 24 hours. Conclusion: Pain occurred in right lower quadrant in all patients. Migration of pain (typical) was present only in half of the patients. The sequence of symptom appearance is of great diagnostic value. It will begin with pain, followed by nausea and/or vomiting and later fever of low grade