Abstract Appendicitis is one of the commonest acute surgical diseases and treatment by emergency openappendicectomy is the most frequently performed surgical procedure in many centers. On review of more than 100 cases, around 50% of cases proceeded with McBURNEYS Incision, another 50% cases we have done with Lanz incision. We found Lanz incision is superior in the approach to the base of the appendix & also cosmetically better for the both male & female and also for the children. The study has been done in the various hospitals where I worked both in India & Abroad. Government Royapettah Hospital from September 1982 to May 1987, Coimbatore Medical college Hospital from June 1987 to April 1991, Government Head quarters Hospital, Erode from September 1991 to December 2000, Perundurai Medical College Hospital, Perundurai from November 2002 to July 2004. In Saudi Arabia- from 2004 to 2008, Maldives in 2015, in Botswana in 2016.