Left upper ureter 23m * 10mm stone, patients are advised to choose extracorporeal shock wave lithotripsy, percutaneous nephrolithotripsy and other surgical treatments according to the doctor’s instructions, and pay attention to the prevention of postoperative complications. 1. Extracorporeal shock wave lithotripsy: it refers to the use of shock waves to penetrate the tissue, focus on the stone site, break the stone and then discharge itself. However, for large ureteral stones, a large number of stone fragments may appear after extracorporeal lithotripsy, so attention should be paid to the prevention of renal colic and other complications. 2. Percutaneous nephrolithotomy: A catheter is inserted into the stone through the urethra and bladder to prevent the stone from migrating downward, and then pierced into the kidney through the skin, and then a ureteroscope is sent in to search for the renal pelvic-ureteral junction, and the stone is crushed by a lithotripter to remove the stone. Care was taken to avoid injury to the kidney during percutaneous creation of access. Left upper ureteral 23mm * 10mm stone, can choose percutaneous nephrolithotomy and other options as prescribed by the doctor, it is recommended that patients go to a regular hospital in a timely manner, the specific operation under the guidance of the doctor.