Extracorporeal lithotripsy and minimally invasive laser lithotripsy have their own advantages and applicable symptoms, there is no absolute which one is better compared to the other, and you need to choose the treatment according to different symptoms. Extracorporeal lithotripsy is called extracorporeal ultrasonic lithotripsy, which is the simplest and most effective way of treating stones, with low cost and little trauma. Laser minimally invasive lithotripsy is suitable for the treatment of larger stones or more serious hydronephrosis through laser minimally invasive lithotripsy. Laser minimally invasive lithotripsy belongs to the surgical treatment, which is relatively more traumatizing, costly, and risky than extracorporeal ultrasonic lithotripsy. Both of them have their own symptoms and surgical characteristics, and need to be selected according to the situation, and there is no absolute advantage and disadvantage.