Ureteral stones cause acute low back and abdominal pain and are a common urological emergency. Treatment options include pharmacological lithotripsy, extracorporeal shock wave lithotripsy and surgical treatment. For patients with stones less than 0.6 cm in the ureter and with a residence time of less than 1 week, pharmacological lithotripsy is preferred. Oral medication can be used to dilate the ureter, relieve ureteral spasm and relieve pain, and then assist in drinking more water, urinating more, and dynamically observing the stone removal situation. The vast majority of patients are able to expel stones on their own after medication, but if they remain unexpelled for more than 1 week, extracorporeal shock wave lithotripsy is required. For stones larger than 0.7 cm and smaller than 1.0 cm in the ureter, extracorporeal shock wave lithotripsy is preferred. However, if the stone is lithotripsed more than 4 times in a row, or if the stone remains undischarged for more than 4 weeks after treatment, surgery is recommended. For stones larger than 1.1 cm in the ureter, inpatient minimally invasive surgery is recommended to avoid long-term hydronephrosis, which can affect kidney function. Of course, it is also necessary to develop an individualized plan according to the patient’s own physical condition and other factors, and it is recommended to seek medical examination and treatment promptly after the disease.