Background and Objective: In the last 20 years, laparoscopic surgery for appendicitis has been introduced as a good alternative to open surgery. We aim to examine up to what extent laparoscopic surgery is practicable instead of open surgery in our setup. We examine the effect of shifting to laparoscopy surgery, comparing laparoscopic surgery to open surgery with quality indicators such as length of post operative stay, operating time, post operative pain, morbidity and follow up of each method during the period 2021 to 2022. Materials and method: All adult patients presenting with appendicitis requiring operation were identified and randomised into two groups. One group underwent open surgery and the other one laparoscopic surgery for appendicitis. The time of surgery, duration of post operative stay, morbidity, mortality and VAS pain score were noted. Result: A total of 90 patients underwent appendectomy either by open method or by laparoscopic method. Conclusion: The standard surgical procedure for appendicitis can be easily done by laparoscopic surgery at the same time, the operating time was significantly more, the duration of stay is a bit less and has got lesser post operative complications on comparing with open surgery.