Background: Laparoscopic appendectomy as a minimal invasive procedure had low morbidity and mortality. It affords a direct diagnosis of the problem, allows determination of the appropriate treatment. Open appendectomy is global treatment of acute appendicitis can be done by many incisions, and associated with considerable complications.

Materials and Methods: This is a cross sectional descriptive hospital-based study to study the outcome of laparoscopic appendectomy versus open appendectomy at Elmak Nimer University Hospital over the study period. All patients in the study period who underwent appendectomy was included, data is collected through standard structured data collection sheet and analyzed by using SPSS v24.0.

Inclusion Criteria:

• All patients in the study period who underwent appendectomy were included.

Exclusion Criteria:

• Patientspresented with complicated appendicitis
• Acute appendicitis with comorbiditites
• Pregnant ladies
• Patients of stump appendicitis .
• Patient with inadequate data

The study includes all patients those underwent appendectomy during the study period.