There are two common types of appendix removal procedures, depending on the severity of your appendicitis: Open Appendectomy: This procedure involves making a single incision through the skin, underlying tissue, and abdominal wall to access the appendix. Laparoscopic ('Keyhole') Appendectomy: This method involves making three small incisions in the abdomen. Special instruments are inserted through these incisions, and gas is gently pumped into the abdominal cavity to separate the abdominal wall from the organs. This separation allows for easier examination of your appendix and internal organs. A laparoscopic appendectomy will allow you to recover faster with fewer scars.