Abdominal pain is perhaps the most common painful health problem in school-aged children. In a developing country like India, patients tend to present late in the disease course, which in turn may lead to poor outcome. The origin of abdominal pain is complex and does not lend itself to a single model of causation. The study was planned in Upgraded Department of Paediatrics in Patna Medical College and Hospital, Patna from November 2013 to October 2014. 50 patients having symptoms of the abdominal pain were enrolled in the present study. Through our study, it can be concluded that most of the children with acute abdominal pain would not require surgery. Detailed history and thorough physical examination are important factors in determining the diagnosis. Parent delay and doctor delay were confirmed as contributing factors in the delayed diagnosis of appendicitis in younger children, which may explain the higher rate of complicated appendicitis in study group. More studies, including prospective studies, of children with suspected appendicitis are needed, especially with a focus on younger children.