Vataj Mutrashmari is more common type of renal stone, which has similar signs and symptoms and appearance of stone like calcium oxalate stone. Heavy physical work and consuming less amount of water, hard water is the one of the cause of stone. The extracorporeal shockwave lithotripsy (ESWL)is the ideal treatment for Vataj Mutrashmari having size 8 mm to 20 mm, situated in renal pelvis. Radio opaque hard stones require more intensity shocks and more number of shocks with number of extra setting. Several factors related to the stone, including stone burden (size and number), type, and location, affect the outcome of extracorporeal shockwave lithotripsy