Appendicitis is a common cause of acute abdominal pain in the general population, but the diagnosis and treatment of acute appendicitis during pregnancy is more complicated and sometimes difficult, and it may lead to adverse pregnancy outcomes. It is important for the diagnosis and treatment of acute appendicitis during pregnancy. At present, the clinical diagnostic auxiliary examination depends on the use of ultrasound and magnetic resonance imaging, magnetic resonance imaging and other auxiliary examinations are still controversial. There is no consensus on the choice of suitable surgical methods during pregnancy. This article reviews the current diagnosis and treatment progress of pregnancy with appendicitis.