In our single-center retrospective study, we aimed to examine the effects of the COVID-19 pandemic on the management and outcomes of pediatric appendicitis over a six-month period. Specifically, we evaluated for differences in the length of hospital stay, rates of complicated appendicitis, and time from admission to appendectomy. We hypothesized that there would be increased rates of complicated appendicitis and delays in presentation compared to a similar pre-pandemic period. Our investigation depicts a higher incidence of pediatric complicated acute appendicitis, longer delays to appendectomy, and prolonged hospitalizations despite no significant differences in symptom duration during the pandemic period.