Pediatric stone disease is an important clinical problem in pediatric urology practice. Because of its recurrent nature, every effort should be made to discover the underlying metabolic abnormality so that it can be treated appropriately. Obtaining a stone-free state with interventional management and close follow-up are of utmost importance.Pediatric stone disease has its own unique features, which are different in both presentation and treatment compared to stone disease in adults. Most pediatric stones are located in the upper urinary tract.Many reports confirm that shock wave lithotripsy (SWL) can be performed in children with no suspicion of long-term morbidity of the kidney.