Percutaneous nephrolithotomy (PCNL) is a common surgical treatment appropriate for removal of kidney stones when they are large or when the patient presents with anatomic issues in the urinary tract. Olympus percutaneous nephroscopes and flexible cysto-nephro videoscopes offer crystal clear visualization and exceptional performance while innovative technologies like the Olympus CyberWand Dual Ultrasonic Lithotriptor System can deliver rapid fragmentation and improved procedural efficiency.