Acute appendicitis in pregnancy is a condition that is challanging to diagnose and treat.The common investigations like full blood count and C.reactive protein are not useful and imaging modalities are restricted to ultrasound and magnetic resonance imaging due to the risk of ionizing radiation exposure to the fetus.Early diagnosis and treatment is essential to prevent complications.The surgical treatment is by open or laparoscopic appendectomy.There is a trend towards laparoscopic appendectomy and so we have conducted this review article to look at the diagnosis and treatment of acute appendicitis in pregnancy.