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Laparoscopic surgery has been in practice in the developed worldfor several decades now. However, in Nigeria, like in most developing countries, laparoscopic surgery is still at an infancy stage, partly because of lack of trained personnel and also due to lack of facilities. Laparoscopic appendicectomy has been shown in several studies to shorten the hospital stay, reduce morbidity and encourage early return to work for patients who were treated this way compared to open appendicectomy. Also postoperative surgical site infection is almost non-existent with laparoscopic appendicectomy compared to open appendicectomy.The aim of this paper is to present our firstexperience with laparoscopicappendicectomy in this centre and to highlight the challenges/prospects of this method of treatment in our setting. This was the first therapeutic laparoscopic procedure performed in this tertiary health facility in Calabar, south-south, Nigeria.This is a case presentation of a 24 year old lady diagnosed of acute appendicitis and had laparoscopic appendicectomy done in ourcentre. She was discharged on the second post operative day in satisfactory condition.

First Laparoscopic Appendicectomy in a Tertiary Health Facility in Calabar, Nigeria- A case report: Prospects and Challenges