This video demonstrates a laparoscopic appendectomy with lysis of adhesions in a patient with prior umbilical hernia repair. Modified port placement was used to avoid encountering known adhesions from previous surgery. Intraoperatively, additional adhesions were lysed to allow safe access to the inflamed appendix. The mesoappendix was divided with a bipolar energy device, and the appendix was resected using a 45-mm stapler. The staple line was reinforced, the field irrigated, and the specimen retrieved. This case highlights practical strategies for navigating adhesions during laparoscopic appendectomy.