Acute appendicitis is a very common surgical problem that affects people in all age-groups. It commonly presents with pain in the right lower abdomen and may be accompanied by fever, vomiting, loss of appetite and diarrhoea or constipation. However, an appendix is a rare site of cancerous growth. A 33-year- old resident of Mumbai, encountered pain in right lower abdomen for more than a week a few months ago. Once the pain became unbearable, he visited Dr Aparna Govil Bhasker, Laparoscopic and bariatric surgeon at Saifee, Apollo Spectra and Namaha Hospitals, Mumbai. She successfully treated the young patient with non-Hodgkin’s Lymphoma of the appendix and small intestine. The patient underwent challenging laparoscopic surgery and chemotherapy to get back on track.