Appendectomy remains one of the most performed emergency surgical procedures worldwide. A critical step in laparoscopic appendectomy is the secure closure of the appendicular stump, which prevents postoperative complications such as stump leak, intra-abdominal abscess, and stump appendicitis. Over the past few decades, numerous techniques for stump closure have evolved, ranging from simple ligature methods to advanced mechanical devices, such as staplers, clips, and endo loops. Each technique offers distinct advantages in terms of safety, cost-effectiveness, operative time, and ease of use. With the widespread adoption of minimally invasive surgery, laparoscopic appendectomy has introduced additional modalities, including clips, energy devices, and intracorporeal suturing. This review aims to critically evaluate various appendicular stump closure techniques in the context of acute appendicitis. Key considerations include clinical outcomes, complication rates, and cost implications. Although no single technique is universally superior, current evidence suggests that secure closure tailored to intraoperative findings and resource availability remains paramount.