Do asymptomatic stones need to be treated? This is a topic of concern for many of you and a topic of debate among doctors. We all may have similar experiences. Whether it is a medical checkup, or a checkup for other diseases, kidney stones are found. When you go to the doctor with the results, the doctor will often say that the stones are small and painless, so go back and drink more water and jump on the line. Wait for the pain to come back later. There are many intrinsic factors for stone pain or not. Such as: stone history, location, size, shape, smooth or rough surface, whether the stone is wrapped with surrounding tissues and stone composition, etc. It is well known that stones are both the name of the disease, the pathological product and the causative factor. Stones are formed by the aggregation of some microscopic crystals that gradually change in the urinary system. Their growth rate is also related to conditions, environment, composition and individual differences. If the stone is located in the renal pelvis, the kidney will be blocked from urination, resulting in hydronephrosis; if the stone is located in the ureter, the ureter will be blocked, and then granulation tissue will form and wrap around the stone, causing hydronephrosis. All these causes can lead to urinary tract infection, pyelonephritis, obstructive nephropathy, and in serious cases, loss of kidney function. This can cause great harm and pain to human health. It is only when stones are painful or have signs and symptoms that they will attract treatment and attention. Often encountered many patients, even if the pain, urinary frequency and urgency symptoms are obvious, and even hematuria, still want to carry, drag or refuse treatment; some patients after treatment symptoms disappeared, mistakenly believe that the stone disease is cured. I am not aware of the damage and pain caused by staying sick and nurturing. This eventually leads to the increased difficulty in the treatment of stone disease, and some patients lose their kidneys as a result. It is also because of the absence of symptoms of stones, will not cause everyone to be alert and attention. No symptoms do not cause damage to the body! This is a misconception, and we must get out of it! Whether there are stones with or without symptoms, as long as they are found, there is no doubt that timely treatment is the best choice. As the old saying goes: “Do not treat the disease to cure the disease, do not treat the difficult to cure the difficult”; “early detection, early treatment, early prevention”; prevention is more important than treatment, both disease prevention, prevention and treatment combined. This is the truth.