When faced with the discomfort and urgency of kidney stones, a perplexing question often arises: Should I see a urologist or a nephrologist for the appropriate treatment? This inquiry seems straightforward at first glance, yet the distinction between these two specialists can be quite nuanced. Urologists are primarily concerned with the surgical and non-surgical treatment of urinary tract conditions, including the alleviation of kidney stones. On the other hand, nephrologists delve deeper into the complexities of renal physiology and manage systemic conditions that affect kidney function. Given the diverse modalities of treatment available, from lithotripsy to dietary modifications, how does one determine the right course of action? Is it based solely on the severity of the stone’s impact on one’s lifestyle, or do underlying health issues play a pivotal role? Considering the myriad possibilities of renal and urological health can significantly influence this decision-making process.