Purpose Although same-day discharge (SDD) after laparoscopic appendicectomy (LA) is regarded as safe, efficient, and economically beneficial in the literature, it is only performed on an ad hoc basis in Australia, with unclear safety and efficacy within this healthcare context(1). Methodology This prospective quality control study evaluated LA cases at Campbelltown Hospital following the introduction of an SDD protocol on 1/8/2024. Perioperative timepoints, length of stay, postoperative analgesia use, Clavien-Dindo complications, and rates of unplanned representation, readmission, and reoperation data were collected. Results 40 patients underwent LA during the study period (median age: 25, IQR: 20–38). Of these, 29 (81%) were discharged on the same calendar day. The median surgery-to-discharge time was 8.1 hours (IQR: 6.8–10.6 hours). The median anaesthesia (97 vs 103 minutes), surgery (54 vs 57 minutes), and perioperative care unit durations (61 vs 83 minutes) were lower in the SDD group, though not statistically significant. Primary reasons for SDD failure included abdominal pain (43%), nausea, and dizziness. There were two representations due to abdominal pain, with no readmissions or reoperations. SDD was not associated with increased 30-day representation risk (p = 0.997). Conclusion This study demonstrates that SDD after LA is feasible within an Australian hospital setting, with equivalent postoperative outcomes. References 1.de Wijkerslooth EML, Bakas JM, van Rosmalen J, et al. Same-day discharge after appendectomy for acute appendicitis: a systematic review and meta-analysis. International Journal of Colorectal Disease 2021; 36(6):1297-1309.