We report our experience on 63 patients submitted to kidney stone surgery, between january '88 and june '94, at the Division of Urology, in Parma (Italy). Nowadays percutaneous lithotripsy (PCNL) and extracorporeal shock wave lithotripsy (ESWL) permit the resolution of lithiasic disease in more than 90% of the cases; in fact, the incidence of open surgery in only about 1-12%. At the present, the role of traditional surgery is also directed to resolution of damages of endourological and extracorporeal failures, as post-traumatic events. We want to emphasize, as now, that essential surgical approach to kidney surgery is lacking in the aim of young urologists training.