Abstract : Appendicitis is most common gastro-intestinal surgical emergency world wide which requires emergency as well as elective interval appendectomy. Various methods available are open (conventional open appendectomy and mini incision appendectomy), laparoscopic appendectomy (single incision, conventional and robotic assisted) and natural orifice Trans luminal endoscopic surgery (NOTES). To study and analyze the advantage, feasibility and utility of mini- incision (2-3cm) open appendectomy (MOA) in terms of safety, cost effectiveness, post operative complications and hospital stay in the present era of laparoscopy as our procedure does not require any special training or costly instruments of laparoscopic surgery. A total 147 patients diagnosed with appendicitis operated with small incision appendectomy as emergency or elective surgery under spinal anaesthesia. The study period was from 2012 to 2020 for 8 years in district hospital/ government medical college Ayodhya. All the patients were diagnosed on the basis of history, clinical examination, laboratory and radiological findings. Patient’s written informed consent was taken for spinal anesthesia and the procedure of surgery was explained to the patients. Data was analyzed using window SPSS version 17. Mini incision appendectomy was performed in total 156 patients, 9 were excluded due to extension of the incision (from 3.5-5 cm) for various reasons, so this study was carried out in 147 patients only. Out of them 80 patients were male (54.42 %) and 67 were female (45.58 %). Average operating time was 26.64 min (range 18-45min) with no post op mortality and minimal postoperative pain. Post operative wound infection occurred in only 8 (5.44%) cases. Average Duration of the hospital stay in our study was 3 days. MOA is a safe procedure requiring no special training and instruments and has short operating time with minimal complications and good cosmesis. MOA is also cost effective.