Fifty-three patients with complete clearance of all gallstone fragments after combined extracorporeal shock wave lithotripsy (ESWL) oral litholytic therapy were included in the study. Eight patients had recurrence of gallstones within the first year at follow-up evaluation. The rate of gallstone recurrence was 15.2 percent within the first year. Four of these eight patients reported biliary pain, the other four remained asymptomatic. The incidence of gallstone recurrence was high in patients who had multiple stones before ESWL treatment (p < 0.05). Age above 60 years was also associated with a higher rate of gallstone recurrence (p < 0.05).