Asymptomatic urinary negative stones usually do not require surgery; if negative stones cause clinical symptoms, surgery may be required. Negative stones are generally stones that do not show up on X-ray, but can be detected by performing ultrasound or CT. And common negative stones include pure cystine stones and pure uric acid stones. Whether negative stones need to be operated or not needs to be judged according to the location of stones, stone diameter, clinical symptoms and so on. If there are negative stones in the kidney area, the diameter of the stones is not large and there are no clinical symptoms. Surgery is usually not needed, but regular follow-up is required. If negative stones in the kidney area cause hydronephrosis, renal colic and other symptoms, surgical treatment is needed, and common surgical methods include extracorporeal shock wave lithotripsy water, ureteroscopy lithotripsy lithotripsy and extraction. It is recommended that patients with urinary negative stones need to consult a doctor in time, and the doctor will determine whether surgical treatment is needed for the patient’s condition.