Nearly 60 years of age of the elderly kidney stone does not necessarily have to open surgical treatment, you can choose to medication, extracorporeal ultrasound lithotripsy, transurethral ureteroscopy lithotripsy, placing a stent to drain urine and other ways of treatment, a small number of patients are not effective in the above treatments, it may be necessary to choose to open surgery. For the diameter <0.6 cm, smooth surface and lower urinary tract without obstruction can be preceded by medication, such as uric acid stones can be used to alkalinize the urine with sodium bicarbonate, infected stones can be used to acidify the urine with ammonium chloride, etc., and at the same time, drink a lot of water to increase urination, and some of the patients' renal calculi can be discharged on their own. If the patient's kidney stone diameter ≤ 2 cm, drugs or drinking a lot of water can not be self-discharge can be considered for extracorporeal ultrasonic lithotripsy, but combined with urinary tract infection, distal urinary tract obstruction, pregnancy, abdominal aortic aneurysm and other conditions are not suitable for use. Large stones are difficult to be discharged by themselves, extracorporeal shock wave lithotripsy is ineffective, and complications such as hydronephrosis have already appeared are indications for surgical treatment, and at present, most of them are treated by transurethral ureteral lithotripsy or percutaneous nephrolithotripsy, both of them are minimally invasive treatments, which can be used for the majority of renal calculi at present. Traditional open surgery is rarely used. If the patient's kidney stone has caused hydronephrosis, renal impairment and other complications, but there are contraindications to surgery can be taken percutaneous nephrostomy or transureteroscopic stenting to temporarily drain the urine, and then consider surgical treatment when the general condition improves. It is recommended to consult a doctor as soon as possible to evaluate the condition and decide on the specific treatment for kidney stones.