Non-operative management of acute appendicitis has seen an increasing trend in the management of acute appendicitis, especially after the Covid-19 outbreak. With better imaging modalities like computerized tomography and better broad-spectrum antibiotics, non-operative treatment of acute appendicitis is now considered as an alternative to appendectomy. This article will investigate the role of non-operative treatment of acute appendicitis in adults and children and compare its efficacy and recurrence rate. We will look at the type and duration of antibiotic therapy. The effectiveness of non-operative treatment is also compared with appendectomy in the treatment of acute appendicitis