Background: Acute appendicitis is one of the most common causes of right lower quadrant pain in female during child bearing period which needs surgical intervention. This study was conducted to evaluate the importance of diagnostic laparoscopy in the management of clinically diagnosed appendicitis in female patients during child bearing period.   Methods: Ninety six female patients with an age range of 18 to 45 years with clinically diagnosed acute appendicitis were enrolled in our study after taking consent. All patients underwent laparoscopic exploration. Appendectomy was only done for patients with inflamed appendix. However, if the appendix was found normal it was not removed and other gynecological or surgical pathologies were explored.   Results: In the 96 female patients with right lower abdominal pain who underwent laparoscopic exploration, we found that 50 cases had appendicitis as the only pathological finding, 21 cases had appendicitis in addition to another pathological finding, 13 cases had normal appendix but with other pathological findings which can possibly explain the symptoms and 7 cases had normal appendix with no other pathological findings that can explain the symptoms.   Conclusion: Laparoscopic appendectomy is highly advisable for female patients with suspected acute appendicitis during child bearing period