One of the most common abdominal emergency encountered in the surgical casualty is acute appendicitis. The present study was conducted to assess effectiveness of early take-up of emergency appendicectomy in reducing the operative andpostoperative complications. Materials & Methods:70 cases of acute appendicitis of both genders were selected. Parameters such as type of surgery, symptoms, signs, duration of symptoms at the time of presentation, time interval between admission and operative procedure performed, Alvarado score and complications etc. was recorded. Results: Out of 70 patients, males were 38 and females were 32. Type of surgery performed was open in 40 and laparoscopic appendectomy in 30. Symptoms were nausea/ vomiting in 54, anorexia in 62, right iliac fossa pain in 45 patients. Signs were RIF tenderness in 60, rebound tenderness in RIF in 51 and elevated temperature in 37 cases. Duration of symptoms at the time of presentation was within 24 hours in 18, within 2 days in 50 and within 1 week in 2 cases. Time interval between admission and operative procedure performed was within 12 hours seen in 63, 12-24 hours in 6 and >24 hours in 1 patient. Alvarado score found to be possible in 30, probable in 25 and very probable in 15 cases. The difference was significant (P< 0.05). Out of 63 who were operated within 12 hours, 40 had inflamed, 12 had perforated, 8 had gangrenous and 3 had mass formation. Out of 6 who were operated within 12- 24 hours, 6 had inflamed and out of 1 who were operated >24 hours, 1 had perforated appendix. The difference was significant (P< 0.05). Conclusion:Complication rates were more in patients who presented late to the hospital and all had gangrenous appendix intra-operatively. Therefore, the appropriate timing of appendectomy from the time of admission should be followed.