The first known appendectomy was performed in 1736 by Claudius Amyand in London. In 1889, Charles McBurney published his Landmark paper in the New York State Medical journal describing the indications for early laparotomy for the treatment of appendicitis. Eventually, early appendectomy became the accepted standard of care. Methods: We present the case of an 8-year-old male patient treated for acute appendicitis. We performed an appendectomy under local anesthesia and anxiety management through

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... sedation. Results: The procedures performed have been used with good results, offering the advantages in addition to producing less postoperative pain. This technique has the lowest impact respiratory and clinical benefits. Conclusion: The appendectomy under local anesthesia and sedation is a promising technique and it can be considered an alternative in high risk patients and low resource settings.