Background: There are numerous reports and studies to date advocating early laparoscopic intervention for complicated acute appendicitis with recommendation for laparoscopy even in cases complicated by gangrene or peritonitis. However, there are few studies concerned with laparoscopic management of appendicular mass formation. This study was conducted to examine the safety and efficacy of early laparoscopic intervention in pediatric patients with appendicular masses. Methods: We retrospectively studied appendicular masses treated laparoscopically at the pediatric surgical department of Cairo University Specialized Pediatric Hospital, in 2 years interval. Intraoperative course and postoperative outcomes were evaluated. Results: Twenty-three patients underwent laparoscopic appendectomy (3 ports). The mean operative time was 52 minutes with no intraoperative complications encountered. Hospital stay ranged from 5 to 7 days (mean 5.5 days). Three patients had minor complications, one suffered from suprapubic port site infection and the other two patients suffered from postoperative collection. Conclusion: Our results suggest that laparoscopic appendectomy is a valid and safe option in children with appendicular masses. Key words: Appendicular masses - laparoscopic appendectomy.