Appendicitis is one of the most common conditions seen by pediatric surgeons but still has many controversies in management. Here is the Rewind of this talk given at the annual Update course 2022 with Drs. Meera Kotagal, Tolu Oyetunji, Shawn St. Peter, and Whit Holcomb Articles discussed: An evidence-based definition for perforated appendicitis derived from a prospective randomized trial Computed Tomography Utilization for the Diagnosis of Acute Appendicitis in Children Decreases With a Diagnostic Algorithm Single daily dosing ceftriaxone and metronidazole vs standard triple antibiotic regimen for perforated appendicitis in children: a prospective randomized trial Same-Day Discharge for Nonperforated Appendicitis in Children: An Updated Institutional Protocol Irrigation Versus Suction Alone During Laparoscopic Appendectomy for Perforated Appendicitis: A Prospective Randomized Trial Decreased resource utilization since initiation of institutional clinical pathway for care of children with perforated appendicitis Safety of a new protocol decreasing antibiotic utilization after laparoscopic appendectomy for perforated appendicitis in children: A prospective observational study Association of Nonoperative Management Using Antibiotic Therapy vs Laparoscopic Appendectomy With Treatment Success and Disability Days in Children With Uncomplicated Appendicitis