Abstract Introduction: Acute appendicitis is the most common surgical emergency in the paediatric age group worldwide. Laparoscopic appendicectomy has progressively replaced open appendicectomy in children over the past two decades, offering advantages of reduced postoperative pain, shorter hospital stay, faster recovery, and improved cosmesis. This study was designed to evaluate the outcomes of laparoscopic appendicectomy in the paediatric population at a tertiary care centre.Material and Methods: This prospective observational study enrolled 120 children aged 3–16 years who underwent laparoscopic appendicectomy between January 2021 and December 2023. Data on demographics, operative findings, histopathology, complications, and recovery parameters were collected and analysed. Children with confirmed acute appendicitis who underwent laparoscopic surgery were included; those with prior abdominal surgeries or uncorrectable coagulopathy were excluded.Results: Of 120 patients (74 males, 46 females; mean age 9.4 ± 3.2 years), 56.7% had suppurative appendicitis, 24.2% gangrenous, and 15.0% perforated appendicitis. Mean operative time was 42.6 ± 12.8 minutes. Conversion to open surgery occurred in 7 cases (5.8%). Overall complication rate was 10.0%. Mean hospital stay was significantly shorter for simple appendicitis (1.9 ± 0.7 days) versus complicated cases (4.8 ± 2.1 days; p<0.001). There was no mortality.Conclusion: Laparoscopic appendicectomy is safe and effective in children across all age groups and disease stages. It is associated with short hospital stay, early return to activity, acceptable complication rates, and zero mortality. It should be considered the standard of care for paediatric appendicitis in appropriately equipped centres.