Surgical modalities for parapelvic cysts mainly include percutaneous puncture sclerotherapy, laparoscopic decortication and decompression, holmium laser incision and internal drainage with flexible ureteroscopy, and robotic-assisted laparoscopic surgery. 1. Percutaneous puncture sclerotherapy has become increasingly common in recent years to utilize minimally invasive techniques to treat such cysts. The choice of treatment and its difficulty are quite different from that of simple renal cysts. In the past, the standard treatment for symptomatic parapelvic cysts was open cyst decortication or nephrectomy. 2. Laparoscopic decortication and decompression. In recent years, most surgeons have opted for laparoscopic decortication and decompression. Currently, laparoscopic surgery includes both transperitoneal and retroperitoneal approaches. 3. Holmium laser incision and endodrainage with ureteroscopy. With the development of natural lumen laparoscopic surgery in urology, ureteroscopy has also become one of the newest minimally invasive modalities in the treatment of parapelvic cysts, and its clinical application has become more and more widespread. 4. Robot-assisted laparoscopic surgery is a minimally invasive and precise surgical system. In recent years, robotic-assisted laparoscopic surgery has been increasingly used in adult and pediatric urology. If you have parapelvic cysts, please consult your doctor promptly. For small and asymptomatic parapelvic and renal sinus cysts, you can have regular review and close follow-up. For larger cysts, please follow the doctor’s instructions to take appropriate treatment.