Background: Kidney stones pose a prevalent and challenging urological condition, necessitating effective management strategies. This study addresses the comparative effectiveness of various surgical approaches in management of kidney stones. The selection of an optimal surgical method is crucial for ensuring successful stone removal while minimizing patient morbidity and optimizing healthcare resources. Aim: The primary goal of our current research is to evaluate and compare effectiveness of different surgical approaches employed in the management of kidney stones. Specific focus will be placed on outcomes such as stone clearance rates, perioperative complications, recovery time, and overall patient satisfaction. By elucidating the nuances of each approach, this study aims to guide clinicians in making informed decisions tailored to individual patient profiles. Methods: A comprehensive review of medical literature will be conducted, encompassing studies, clinical trials, and case series that investigate surgical interventions for kidney stone management. Data extraction will include surgical techniques like shock wave lithotripsy (SWL), percutaneous nephrolithotomy (PCNL), and ureteroscopy, among others. Comparative analyses will be performed, considering both randomized controlled trials and observational studies, to provide a nuanced understanding of the advantages and limitations associated with each approach. Results: The results will present a comparative analysis of stone clearance rates, perioperative complications, recovery time, and patient-reported outcomes for various surgical approaches in the management of kidney stones. By synthesizing evidence from diverse studies, this research aims to offer a comprehensive overview of the relative effectiveness of each method, aiding clinicians in making evidence-based decisions for personalized patient care. Conclusion: The results of our current research are anticipated to contribute valued insights into comparative effectiveness of different surgical approaches for kidney stone management. By delineating the strengths and weaknesses of each method, clinicians can make informed decisions tailored to patient characteristics, ultimately improving treatment outcomes and enhancing overall healthcare efficiency.