In China, urinary stones are a high incidence and more common in patients. There are two main effects of urinary stones on patients: First, stones may cause obstruction of the urinary excretion pathway, leading to hydronephrosis, which can lead to long-term hydronephrosis, resulting in thinning of the kidney cortex, affecting kidney function, and in severe cases, leading to non-functional kidneys and the need for nephrectomy. Secondly, stones may become a source of infection, which can easily lead to urinary tract infection. With the development of modern science and technology, there is now a complete set of minimally invasive solutions for the surgical management of urinary stones. These include extracorporeal shock wave, ureteroscopy, percutaneous nephrolithoscopy, and laparoscopic surgery. Large open incisions have been largely avoided. Here, we would like to introduce to our patients the various minimally invasive ways to treat urinary stones. The first ones are more familiar, while percutaneous nephrolithoscopy may be relatively new, so we will focus on them. The advantages of extracorporeal shock wave, which became popular in the 1990s, are that it is noninvasive and inexpensive, but the success rate is not high, especially for larger and harder stones. Fragments that form a stone in the ureter are more difficult to treat. At present, shockwave can be tried first for smaller stones in the upper urinary tract. Ureteroscopy mainly deals with stones in the lower and middle ureter and the bladder. The current minimally invasive treatment involves endoscopic observation through the urethra and the use of laser or pneumatic ballast to break up the stones and expel them from the bladder. The main advantage of the procedure is that it uses the natural lumen of the body without incisions. Because most of the ureteroscopes used are straight, curved ureteroscopes are expensive, easily worn out, and costly for the patient. For stones in the kidney or in the section of the ureter near the kidney, it is still difficult to use this method because of its high location. In recent years, percutaneous nephrolithotomy has been developed. The following diagram is a diagram of percutaneous nephrolithoscopy, in which a needle is first used to puncture the kidney’s collecting system with a needle in the back, and then a guide wire is placed and slowly expanded, and then an endoscope is placed to observe the stone, and then the stone is broken and flushed out. Because we use microchannel, the diameter of the channel is about 5mm, and the postoperative trauma is small, this technology is a blessing for kidney stone patients. Before the introduction of this technology, open surgery was used for large stones in the kidney, which required cutting open the kidney and removing the stones, making the surgery more difficult and risky, and causing more bleeding. PCNL has been reported to be a reliable method for the management of kidney stones. PCNL has been widely performed and has accumulated a large number of cases in our hospital.