[Summary] objective: to study the application of acute appendicitis in optimizing the benefits of treatment programmes and outcomes. Methods: a review of 198 with optimization of surgical treatment for acute appendicitis. Result: all cured, hospitalization time 5-7 days, cut grade a healing, no case occurred intestinal adhesion, abdominal abscess, wound infection, intestinal fistulae, incisional hernia, and other complications. Conclusion: courses in 7 days for patients with acute appendicitis, admission after 4-6 hour line surgical treatment, follow a strict aseptic operation, small cuts, with the relative isolation and security of the stump, peritoneal lavage, do not place the drainage of optimization that effect, advocate promotion.[Keywords] appendicitis; surgery; optimization;看看怎样?!