Abdominal pain is one of the most common painful health condition 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 pathology of abdominal pain is complex and does not let itself to a single cause. The 50 patients having the symptoms of the abdominal pain were enrolled in this study. It was found that most of the children with acute abdominal pain would not require surgery. Detailed history and thorough physical examination are important factor of 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.