Background: Laparoscopic appendectomy for non perforated appendicitis is associated with improved outcomes. This study compares laparoscopic appendectomy and open appendectomy in cases of a perforated appendix by assessing surgical site infection, mean operating time, and This study was a prospective randomized study conducted at the Department of Surgery at RDGMC between Feb 2021 to March 2022 for 54 patients who underwent laparoscopic or the open appendectomy technique. Results: The frequency of wound site infection was significantly higher in open appendectomy than in the laparoscopic approach . Mean hospital stay was slightly longer in the laparoscopic approach than in open appendectomy. Mean operating time for laparoscopic appendectomy was less as compared to open appendectomy. Conclusion: Laparoscopic appendectomy was associated with fewer surgical site infections and shorter mean operating time than an open appendectomy.