Appendicitis does not always require surgical removal. For some patients, recovery can be achieved merely by relieving obstruction and controlling inflammation. The Department of Gastroenterology at Taikang Xianlin Drum Tower Hospital, Affiliated to Nanjing University Medical School, has recently adopted a new technique — Endoscopic Direct‑Vision Appendicitis Therapy (EDAT) — making appendix‑preserving and precise treatment achievable.