The incidence of paediatric nephrolithiasis is 5-10%, with bilateral paediatric nephrolithiasis being extremely rare. Aims &objectives: this article aims to describe safety of performing bilateral laparoscopic pyelolithotomy (LP) in a 13-year-old patient presenting with bilateral large stones, including a staghorn stones.

A 13-year-old boy presented with a complaint of right loin pain for one month, accompanied by a history of open left pyelolithotomy four years prior. Upon investigation, he was found to have bilateral large renal stones and normal renal function CT shows extra renal pelvic stones . The patient underwent bilateral laparoscopic pyelolithotomy under general anaesthesia. Operating time was 135minutes. Blood loss was 125 mL. Hospital stay was 4days.

Discharged on POD-4th aftyer removal of drains and catheter. Double-J stents were removed four weeks postoperatively. The patient was rendered stone-free with stable renal parameters.

This case report is the first to describe bilateral LP for large and staghorn stones in the paediatric population. This procedure minimizes postoperative morbidity and yields high stone-free rates. However, it requires expertise and further investigations to assess reproducibility. This case highlights the potential benefits of minimally invasive surgery for paediatric patients with complex renal stone disease, reducing recovery time and scarring.