Left upper ureteral stone 23mm * 10mm, drug treatment has no obvious effect, it is generally recommended that patients choose surgical treatment, can follow the doctor’s orders for extracorporeal shock wave lithotripsy, percutaneous nephrolithotripsy and so on. 1. Extracorporeal shock wave lithotripsy: it is generally the first choice of surgical treatment for upper ureteral stones, which utilizes shock waves to break up the stones and allow them to be discharged with urine, which is simple to operate and less harmful to patients. It is important to note that some patients may experience postoperative renal colic caused by the accumulation of stone fragments, which should be treated in a timely manner. 2. Percutaneous nephrolithotripsy: Insert the catheter through the urethra and bladder, inject water to help locate the stone, puncture the kidney through the skin and send it to the ureteroscope, and then break up the stone at the connection of the renal pelvis and ureter to take out the stone. Postoperative attention was paid to appropriate exercise and drinking plenty of water to increase urination. Left upper ureter 23mm * 10mm stones, patients are advised to go to regular hospitals, the specific operation needs to be under the guidance of a professional doctor for treatment.