Whether extracorporeal lithotripsy or minimally invasive lithotripsy is better can’t be generalized, the two ways have their own advantages and complications, which should depend on the patient’s condition. 1. Extracorporeal lithotripsy is the lithotripsy treatment guided by ultrasound or X-ray localization, which is less traumatic and less costly, and most of the urinary stones <1.5㎝ can be treated by extracorporeal lithotripsy, but its lithotripsy efficiency (less than 70%) is lower than minimally invasive surgery, and it is not suitable for cases such as large stones, pregnant women, coagulation dysfunction, distal urinary obstruction, and combination of uncontrolled infections. 2. Minimally invasive surgery is mainly suitable for cases that are not suitable for extracorporeal lithotripsy, or combined with hydronephrosis, infection, bleeding, severe pain, large stones, etc. However, minimally invasive surgery is more traumatic than extracorporeal lithotripsy, and the cost is higher. If you suffer from stones, you should seek medical treatment and choose the appropriate treatment under the guidance of your doctor.