Introduction and objective: Acute appendicitis is one of the most common acute emergencies in general surgery. Laparoscopic procedures in acute abdominal diseases require particular skills and experience from the surgeon, because the anatomical conditions and the image of the abdominal cavity are usually altered, with swollen and brittle tissues, by ongoing acute inflammation. Appendectomy can be performed using both open and laparoscopic methods. In the era of minimally invasive procedures, appendectomy is most often performed using the latter approach. The aim of the study was to assess the impact of the type of surgical approach (open or laparoscopic appendectomy) on the length of hospital stay, patients’ recovery and postoperative complications. Material and methods: The analysis included patients operated on in the Department of Thoracic, General and Oncological Surgery between 2020 and 2023 due to acute appendicitis. The patients underwent emergency surgery using open or laparoscopic methods. All patients were qualified for a follow-up appointment at the hospital surgical clinic (appointments took place on day 10 after the primary surgery or relaparotomy). Results: The study group was divided based on age, gender and the type of surgical procedure performed (open versus laparoscopic). The severity of pain on days 1 and 10 postoperatively, the occurrence of postoperative complications, and the duration of hospital stay were also assessed. Conclusions: It was concluded based on the results obtained that compared to open appendectomy, laparoscopic procedure was associated with lower rates of postoperative complications, reduced pain and shorter hospital stay.