The procedure of cystoscopic lithotripsy includes local anesthesia, placement of cystoscope, lithotripsy, and irrigation. First, the patient adopts general anesthesia or lumbar anesthesia according to the situation, takes the lithotomy position, disinfects the vulva and spreads the sterile sheet. Secondly, the cystoscope was inserted into the bladder through the external urethral orifice, and the bladder was irrigated with saline under direct vision, and the stone was found in the bladder. Further, stones with a diameter of less than 0.8 cm can be extracted directly with lithotripters, and for stones with a diameter of more than 0.8 cm, holmium laser or ultrasonic pneumatic ballistic lithotripsy is applied. Finally, the stones in the bladder are crushed and then flushed out with a douche or ultrasonic negative pressure suction to achieve the purpose of stone removal. In addition, it is recommended that patients who want to have a cystoscopy that requires lithotripsy should go to the hospital in time and have the procedure performed under the correct operation of the doctor.