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102, 95% CI 1.155-3.826, =0.015) with a greater consultant presence during operations (OR 4.740, 95% CI 2.523-8.903, 0.001). Despite the greater AAST scores recorded during the COVID period, no increase in postoperative complications was observed (OR 1.145, 95% CI 0.404-3.244, =0.798). Delayed presentations during the COVID-19 pandemic were associated with more complex cases of appendicitis. Important lessons can be learnt from the changes in practice employed as a result of this global pandemic. Delayed presentations