The purpose of this study is to show the  disagreement   between  the

   clinical and pathological diagnosis.

         The hospital records of 150  patients  with  clinical  diagnosis  of  acute

   appendicitis  have  been   studied   to   find   out   the    histopathological

   criterion , and 104 cases confirmed by histopathology study.

         Eighty four patients (56%) were  male and 66  were  female (44%). The

   majority  of them were in 15-24  ages group. The most accurate diagnosis

   was in male group (81%) and in  female  it  was 54.5%. The most acuurate

   diagnosis was in  25 - 34  years   ages   group  and the lowest was in 35-54

   years ages group. Highly competent, 2 surgeons make positive  diagnosis

   of  acute appendicitis and removed appendix with  acute inflammation,

   that   the  accuracy  of  diagnosis  was  about 79% . The lowest accuracy

   of diagnosis was  about 47%.

         I conclude that  disagreement  between  surgeons  and  pathologists

   was happend in 26.6% of cases.