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Acute abdominal pain is a common reason for children to go to the emergency department, with appendicitis being the most common surgical emergency. Medicine has problems with defining diseases based solely on abnormal numbers from machines, causing overestimation of conditions like kidney disease and diabetes. Percutaneous repair of the Achilles tendon is an alternative to open surgery, with similar results but a risk of nerve injury. Acute abdominal pain is one of the most common reasons children seek care in the emergency department and appendicitis, the most common pediatric surgical emergency, is diagnosed in almost 10% of these children. Medicine has many issues due to definitions. When we define a disease solely on a slightly abnormal number obtained by a machine, chronic kidney disease, hypertension, hyperlipidemia, diabetes, without using any clinical judgment, we overestimate conditions as diseases. Percutaneous repair is an alternative to open surgical repair of the Achilles tendon with comparable functional results and low re-rupture and infection rates. However, several nerve injury is a known complication.