Aim:To compare open and laparoscopic appendectomy cases.Methodology:Ninety cases of appendectomy of both genders were randomly divided into 2 groups of 45 each. Group I underwent open appendectomy and group II underwent laparoscopic appendectomy. In both groups, length of hospital stay, operative time, post operative pain relief and any complications were recorded.Results:Group I had 25 males and 20 females and group II had 18 males and 27 females. Operative time in group I was 48.2 min and in group II was 41.5 min. The hospital stay was 3.2 days in group I and 4.6 days in group II. The mean pain score in group I was 2.8 and in group II was 1.7. A significant difference was observed (P< 0.05). Common complications observed were wound infection 3 in group I and 0 in group II and abdominal abscess 5 in group I and 1 in group II. Conclusion:Laparoscopic appendectomy found to be better than open appendectomy. Operative time, hospital stay and post- operative complications were less with laparoscopic appendectomy.