Laparoscopic appendectomy is the gold standard method of treatment of acute appendicitis. Closure of appendicular stump is the most important step to prevent complications. There are various methods to occlude the appendix. There is an insufficient analysis of the various methods to close the appendicular stump. The aim of this study was to analysis provide a treatment ranking of different options for securing the appendicular stump among endoloop, endostaplers, titanium clip, suture knots, Hem-o-Lok.