Appendix has long been thought of as an organ serving no useful purpose in the body. The newer researches prove to the contrary, as with the advent of the newer histological techniques and surgical avenues, it has been found to have very useful functions. The position of the tip of the appendix determines its clinical presentation in case of any disease pertaining to appendix, specially the very common condition of the inflammation of the appendix, clinically termed Appendicitis. Extensive literature review was done and it was observed that location of its tip is subject to ethnic and geographic variations, and therefore, presentation may mimic a disease other than the appendicitis, to the disadvantage of the attending or diagnosing physician. Now it has also been found to be a very important part of gut associated lymphoid tissue (GALT). Reconstructive surgery has found it as an organ that can be restructured and used for the repair and reconstruction of various organs. It is found that there is a lot of room for further studies in the light of new found evidences.