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INTRODUCTION We conducted a retrospective analysis of 602 children operated on for acute appendicitis (AA) in our department between 1/2007 and 12/2017. AIM The aim of this study was to identify factors that are related to a delay in diagnosing AA in children. Furthermore, we’d like to strengthen our previous preliminary results by a) adding gender as a new factor and b) studying a much larger population. MATERIALS AND METHODS The time that elapsed from the onset of symptoms to the surgical intervention was associated with gender, age