Conventional surgery for the treatment of ureteral calculi isnowadays restricted to a few special situations or when minimallyinvasive treatment fails. Giant uteretal calculus is arare disease. The classical treatment is ureterolithotomy withlarge ureteral incision. We present a case of a 16-year-oldmale who presented a ureteral stone measuring 11 cm. He wassubmitted to open surgery, with lithotripsy and an incision of 2 cmon the mid point of the calculus, which led to a less aggressiveintervention on the ureter to remove the stone. There were nopostoperative complications and the patient was discharged fromhospital after 4 days. We speculate that this technical procedurecould be performed by means of laparoscopy and be even lessaggressive.