Although appendiceal endometriosis is rare. appendix is the second most common site of intestinal endometriosis. Clinical diagnosis is difficult and histopathology is the only way to establish the diagnosis. We present a case of chronic pelvic pain secondary to appendiceal endometriosis and a review of the literature. https://www.sahmbuffy.com/product-category/ge-bls-e-cmh-ballasts/