Appendicitis is extremely common, with a lifetime risk of 8% in the UK. McBurney performed the first appendicectomy in 1889.1 Operative treatment remains the mainstay of treatment for acute appendicitis: this procedure has altered little since it was developed. Open appendicectomy is often the first abdominal operation undertaken by the surgical trainee and therefore forms an important part of training for the junior surgeon. Laparoscopic appendicectomy (LA) represents the biggest change in the management of acute appendicitis since the introduction of the open procedure. An increasing number of surgeons are performing LA. In spite of this, there remains huge variation in the ability of SpRs to perform this procedure.