Sometimes appendicitis requires surgery to remove the appendix but you don't always have to have surgery to remove the appendix for appendicitis.
If the appendicitis is not too severe then doctors can sometimes treat the appendicitis using medicines such as antibiotics.
However the best option for appendicitis is to go into the emergency room and have surgery performed to remove the appendix to prevent further infection.
In some cases an infected and ruptured appendix could cause death to the person.