Background: Acute appendicitis is a common problem in children and early adult life. Appendicectomy is immediate or emergency procedure to reduce morbidity and mortality. The present study was conducted to find out clinical profile of acute appendicitis and complications of appendicectomy. Methods: This observational study was conducted among 42 patients diagnosed as acute appendicitis in Bundelkhand Medical College, Sagar during the year from July 2018 to August 2019. The clinical profile like age, sex, symptoms of the patients and post operative complications were recorded. All patients underwent appendicectomy and followed post–operatively. Results: Out of 42 patients, 76.20% were male and 23.80% were female. Nearly 50% of the patients belonged to the age group of 15–30 years. 100% had pain abdomen, 80.95% had fever and 71.42% had vomiting. The post–operative complication was 7.14%. Conclusion: Acute appendicitis is very common in younger age groups. Study shows that whenever young patients presents with acute abdominal pain may be considered acute appendicitis. The complication of appendicectomy is very minimum and gives good prognosis.