For huge kidney stones, traditional treatment requires an incision of about 15 cm in the patient’s waist to remove them. Recently, Gaozhou People’s Hospital carried out a new technique of removing huge kidney stones without surgery. Through laparoscopy, only two small holes of about 0.5 cm and a small incision of about 3 cm were made in the waist, and a huge kidney cast stone of about 7 cm x 3.6 cm was removed for Uncle Wu in Gaozhou City. According to the search, this procedure has not been reported in the western part of Guangdong. He was diagnosed with stones more than 10 years ago, when he was often paralyzed in his lower back, and sometimes in pain and cold sweat. 5 years ago, he had an extracorporeal lithotripsy in a foreign country, which discharged some stones and made him feel much more relaxed. Recently, he had dull pain in his lower back again, especially when bending and squatting, and he often urinated blood, and went to Gaozhou People’s Hospital Urology Department 2 for examination and found that he had a huge cast stone in his left kidney, measuring about 7 cm x 3.6 cm. Feng Zhenhua, director of the department, carefully analyzed his condition and decided to implement a new technique of posterior laparoscopic left kidney incision to remove the stone for the patient. Only three small holes (the largest about 3 cm) were made in the patient’s lumbar region, and under laparoscopic guidance, the stone was removed by incising the whole renal pelvis, then placing an intraureteral stent tube, suturing the renal pelvis, and then removing the stone intact through a small incision of about 3 cm. Because the surgical field of view is very small when starting from the posterior abdominal cavity, the operation is very difficult and the suturing of the incised renal pelvis is also very critical. After thorough preparation, Director Feng Zhenhua performed the surgery, and in about 90 minutes, the huge stone was successfully removed in its entirety and the renal pelvis was precisely sutured. After the operation, the patient recovered well, there was no urine leakage, and he was able to get out of bed on his own the next day and was discharged from the hospital a few days ago. According to Director Feng Zhenhua, the traditional method for huge kidney stones is to remove the stones by open surgery or by percutaneous kidney puncture. Although open stone extraction can remove the whole stone, but the incision is relatively large; percutaneous kidney puncture to remove the stone although the incision is small, but the huge kidney stone surgery time is long, easy to residual stones. The new procedure of posterior laparoscopic incision to remove kidney stones combines the advantages of the first two, which is less invasive and can remove the whole stone without residue, providing a new treatment for some patients with kidney stones.