Despite the common nature of the disease and the countless studies conducted, the etiological factors contributing to the condition of appendicitis remain unknown and obscure. Universally, it had been rare prior to the adoption of the western way of living.It has been observed that over the years, appendicitis has risen from being an insignificant disease to the most common severe intra-abdominal inflammatory pathology in western civilized areas, and this has been a matter of much speculation. 180 patients who presented to the Surgery OPD and Emergency Department with RIF pain were included in the study. Relevant history, examination and laboratory investigations done. Patients were scored according to both Modified Alvarado Scoring System (MASS) and RIPASA Scoring, and both were documented in the proforma. Among the 180 study patients, a total 110 patients were diagnosed as appendicitis using USG. Among these 84.54% underwent appendicectomy, 0.9% laparoscopic appendicectomy and 14.5% had conservative treatment.