Objective To explore whether the use of botulinum toxin type A could reduce the wound scar hyperplasia after appendectomy. Methods Eighty patients who underwent appendectomy in Beijing Fengtai Youanmen hospital from March 2018 to December 2018 were randomly divided into the observation group and the control group. The observation group was combined with the use of botulinum toxin A during routine suture,The control group was only subjected to conventional sutures. Follow-up was performed at 1 week, 2 weeks, 1