Abstract: 【Abstract】Objective: to explore the effectiveness and feasibility of laparoscopic gallbladder merge appendectomy.Selection methods: our hospital in February 2013 - September 2014 treated 200 cases of patients with acute appendicitis, the randomly divided into observation group and control group, 100 cases in each group, the observation group used laparoscopic therapy and control group using open treatment, after treatment, compared two groups of patients with clinical symptoms and the changes of follow-up recovery after surgery.Results: two groups of patients were successfully completed the surgery, laparoscopic treatment adopted by the observation group, patients in the surgery of the bleeding for ml (15 + / - 2.8), the control perioperative blood loss in patients (28 + / - 5.1) for ml;Observation group and control group in patients with operating time (30 + / - 2.1) min, 30 + / - 1.5 min, the patient's hospital stay were d (3 + / - 0.8), d (7 + / - 1.0).Incision infection rate in patients with observation group and control group were 0% and 3.0% respectively, the frequency of the use of painkillers is 4.0% and 32.0%.Conclusion: laparoscopic gallbladder merge appendectomy surgery has good validity and feasibility, and reduce the patient's hospital stay, reduce the patient's pain, is a kind of ideal operation method, is worth using and promotion.