A study of 222 patients with upper urinary tract calculi is presented and age incidence, clinical features and the management has been discussed. From this study it was not possible to ascertain high and low stone areas in the Punjab. The patients in Pakistan seem to be afflicted with calculous disease at an earlier age as compared to the western countries. There is a higher incidence of calculous disease in the family of the patient with renal stones as compared to the hospital population.