RT Journal Article SR Electronic T1 Non-operative management of appendicitis in children JF Archives of Disease in Childhood JO Arch Dis Child FD BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health SP archdischild-2017-313267 DO 10.1136/archdischild-2017-313267 A1 Nigel J Hall A1 Simon Eaton YR 2017 UL http://adc.bmj.com/content/early/2017/10/21/archdischild-2017-313267.abstract AB While appendicectomy has been considered the mainstay of treatment for children with acute appendicitis for many decades, there has been a great deal of recent interest in non-operative treatment (NOT) with antibiotics alone. Initial results suggest that many children with appendicitis can indeed be safely treated with NOT and can be spared the surgeon’s knife. Many as yet unanswered questions remain, however, before NOT can be considered a realistic and reliable alternative to surgery. This review summaries current knowledge and understanding of the role of NOT in children with appendicitis and outlines and discusses the outstanding knowledge gaps.