Introduction: The surgical practice in the management of an acute appendicitis, when diagnosed, is appendicectomy. There are conventional approachesapart from appendicectomy include the conservative management by Ochsner-Sherren regime when the clinical diagnosis of appendicular lump is suspected or established. Present study was aimed to study the outcome of conservative management of acute appendicitis. Materials and method: Observational retrospective and longitudinal descriptive study was conducted among the population of patients are consulted online’ and on ‘physical assessment’ during the hours of emergency duty and who consulted on whatt’s app, on phone and on mail from different parts of our state and even from the out of country also. The accepted diagnostic tools are used as the short history, pulse rate, ultrasound probe tenderness, raised temperature, urine output, clinical co-relationship and WBC count above eleven and below four thousands/cu.mm.the modified parameters as we followed clinically and on line to assess the conditions in the process of management following history, painabdomen, nausia&vomiting along with coating on the tongue. This is almost similar to the assessment of severity of sepsis.The clinical advises were adopted by the hybrid mode (online and physical assessment during the covid pandemic state) from the peripheral units of Sundarbans, Santiniketan, Madanpur, Kalyani and other centers of rural areas of our country like Tripura, and from close friends who suffered from similar symptoms there at Bahrain and UAE. Results: There were heterogeneous sex and age group of patients in between six and hundred and one. The signs and symptoms were not homogeneous in all the patients. There were 215 patients who came to seek advice (physically and majority on line) but did not agree to go on with the surgical management, when needed, in this adverse environment of covid19. We collectively compelled to opt the medical management closely following on the Ochsner-Sherren’s regimen which is more true for appendicular lump management. This was due to this adverse panic stricken situation. We had to take the decision for appendicectomy in 13 patients in the first half of the Covid situation and 6 patients underwent interval appendicectomy. Out of these thirteen patients 2 died but the exact cause of death of these two patients was not vivid within this covid pandemic state. There were no provisions for medical autopsy. We also followed the safety protocol on the guideline of risk assessment adopting the online monitoring of Enhanced Recovery After Surgery (ERAS) protocol to achieve the quality and quantity of life. Conclusion:This preliminary observation provided us clues those are inferred as • The challenges and strategies can guide us to avoid emergency to find a plan for the next • To opt the risk-benefit ratio in the event of odd situations • The ERAS protocol with some modification is an accepted guideline in the event of remote area emergency during odd situations • The procedure is a collaborative approach and life saving within the damage control procedure particularly in remote areas where doctors are not readily available in real time but there is emergency.