Obstructive nephropathy does not have the best treatment method, the cause of obstruction is different treatment methods are not the same, the treatment is mostly surgical treatment, the specific surgical methods need to be combined with the cause of the disease and condition to determine. Obstructive nephropathy is a disease that causes functional and organic damage to the kidneys due to the obstruction of urine flow. Common causes of obstruction include congenital anatomical abnormalities, urinary stones and genitourinary tumors. If obstruction is caused by congenital pelvic ureteral stenosis, dissecting plasty is usually chosen. Obstruction caused by urinary stones requires different surgical methods according to the location of the stones. Extracorporeal shock wave lithotripsy, percutaneous nephrolithotripsy, ureteroscopy lithotripsy can be chosen for upper urinary tract stones; transurethral cystoscopy can be chosen for lower urinary tract stones or lithotripsy or suprapubic cystotomy. Obstruction caused by genitourinary tumors is mostly seen in renal pelvis and ureteral cancer. Tumor invasion of upper urinary tract causes obstruction, radical nephrectomy and ureteral resection can be chosen, and chemotherapy is the mainstay for patients with advanced stage. The treatment principle of obstructive nephropathy is to relieve obstruction as soon as possible to avoid renal function damage. Therefore, if the symptoms of obstruction appear, you should consult a doctor in time and follow the doctor’s instructions to avoid the progress of the disease.