Objective To explore the value of endoscopic retrograde appendicitistherapy(ERAT)in pediatric appendicitis.Methods A total of 60 children with acute simple appendicitis admitted to Ganzhou People's Hospital from January 2021 to June 2022 were selected as subjects,and they were divided into experimental group(n=30)and control group(n=30)ac-cording to random number table method.The control group received antibiotic treatment,while the experimental group re-ceived ERAT treatment.The relevant time indicators,incidence of complications,and white blood cell levels before and after treatment were compared between the two groups.Results Symptom relief time,white blood cell recovery time,body tem-perature recovery time and hospitalization time of test group were shorter than those of control group,the differences were statistically significant(P<0.05).There was no significant difference in the total incidence of complications between the ex-perimental group and the control group(P>0.05).The leukocyte level of experimental group was lower than that of control group 1 day after treatment,and the difference was statistically significant(P<0.05).The recurrence rate of experimental group was lower than that of control group,and the difference was statistically significant(P<0.05).Conclusion The appli-cation of endoscopic retrograde appendicitis treatment scheme in the treatment of simple appendicitis in children has signif-icant effects on promoting rapid remission of symptoms and shortening the hospital stay of children,and can effectively re-duce the recurrence rate of children.