Introduction: Acute appendicitis is the most common cause of acute abdomen in young adults. It is also one of the most common conditions requiring emergency surgery. Macroscopically normal-appearing appendix, removed from patients with suspected acute appendicitis, on histopathological examination may reveal a more sinister underlying pathology. We did a retrospective study of the histopathological examination of 140 specimens of appendix to see the pattern of various findings. Materials and Methods: Hospital records of 140 patients who were diagnosed as acute appendicitis or recurrent acute appendicitis and who underwent appendectomy, either laparoscopic or open, were reviewed. Histopathology records of these resected appendices submitted to the