Introduction: Laparoscopic appendicectomy has become the procedure of choice for acute appendicitis at our hospital. It provides ideal training in a variety of laparoscopic techniques. It is both safe for patients and good for the community by improving the skills of surgical trainees.Methods: We reviewed the prospective audit of one junior registrar's first 150 consecutive cases of laparoscopic appendicectomy, after supervision for the first five cases.Results: 150 patients underwent laparoscopic appendicectomy over a period of 27 months. Ages ranged from 14 to 72 with a mean of 28. A standard 3 port technique was used, utilizing mostly suture loops, or occasionally linear staplers to tackle the appendix base. Of 124 patients with confirmed appendicitis, 44 (35%) had perforated, possibly reflecting delay in access to operating theatre in a busy public hospital. Despite this, only two post operative abscesses occurred, and both resolved after percutaneous drains. Hospital stay ranged from 2–7 days (Mean 2, Median 3.5 days). Senior surgical assistance was required in only two patients, once for laparoscopic repair of a serosal tear, and once for conversion for an inflammatory mass subsequently shown to be a carcinoma. Analysis of the cohort in three groups of fifty: early, mid, and late in the series demonstrated a statistically significant improvement in both operative time and diagnostic accuracy.Conclusion: Laparoscopic appendicectomy is the ideal training operation. After some initial supervision the trainees can perform surgery unsupervised and gain experience in a wide variety of surgical techniques. Clinical acumen and operative times improve with experience.