Acute appendicitis remains one of the most common surgical emergencies worldwide. The timing of surgical intervention—whether early or delayed—has been a subject of considerable debate due to varying clinical outcomes. This study aims to compare the outcomes of early versus delayed surgical management in patients with acute appendicitis, with a focus on post- operative complications, recovery times, and hospital stay duration. A total of 200 patients were randomly assigned to either the early or delayed surgery group. The primary outcome was the rate of complications, while secondary outcomes included duration of surgery, length of hospital stay, and recovery time. Results revealed that early intervention significantly reduced the incidence of postoperative complications (p < 0.05) and hospital stay duration (p < 0.01). However, no significant difference was observed in the duration of surgery between the two groups. This study contributes novel insights into the advantages of early surgical intervention in acute appendicitis, emphasizing its role in reducing complications and enhancing patient recovery. These findings suggest that early surgical management may be optimal for reducing the burden of appendicitis and its associated healthcare costs. Early intervention should, therefore, be the preferred approach for managing patients with acute appendicitis, particularly in settings with limited healthcare resources.