In a prospectie study of 132 patients with operative and histological proof of acute appendicitis, details of clinical features, and many laboratory and radiological investigations were made. The disease was found to be predominant among males in their twenties, who usually presented with central abdominal pain which then referred to the right iliac fossa. Only half of the patients had fever and tachycardia and the minority were constipated, while the abdominal findings were remarkable. Rectal examination was informative in more than half of the cases, and leucocytosis was present in 72.7% of the patients. Positive radiological findings directly related to acute appendicitis were detected in 55% of the cases. Drainage of the operative field even in gross soiling was not necessary, and antibiotics were only used in 36% of the patients. There was no mortality, but postoperative complications occured in 22 patients [16.6%] . Wound sepsis, which occured in 20 cases [15%] , had a significant relationship to the pathological status of the appendix. Those who had gangrenous-perforated appendix had about a 7 times greater chance of developing wound infection than others