The management of urolithiasis has evolved significantly in recent decades, now using numerous techniques that exhibit differing rates of full stone removal and varying incidences of morbidity. Ureteral calculi larger than one centimeter are likely to be impacted, and endoscopic failure rates are high. Therefore, these stones may represent a favorable indication for primary ureterolithotomy. Laparoscopic ureter lithotomy was conducted via the transperitoneal approach. or the retroperitoneal approach. But the transperitoneal approach has a shorter learning curve and less total operative time. Laparoscopic lumbar ureterolithotomy is a one-session efficient, safe procedure that ends in a stone-free patient with low postoperative pain, good cosmetic incisions, and a reduced hospital stay, with exposure to possible morbidities and high experience. Extracorporeal shock wave lithotripsy (ESWL) has become the preferred management for renal calculi smaller than two centimeters and proximal ureteral calculi that do not pass naturally. This method of treatment is the least invasive and has demonstrated great success rates for calculi throughout the whole urinary tract.