This paper provides an overview and comprehensive update on the management of kidney stone disease (KSD) based on evidence-based guidelines from the American Urological Association (AUA) and the European Association of Urologists (EAU). The guidelines cover imaging, treatment options, and medical therapies, with specific advice for patient groups such as children and pregnant women. While both guidelines are generally aligned and evidence-based, minor differences exist in recommendations. The authors recommend regular updates to the guidelines based on new evidence and emphasize that treatment plans should be personalized, considering patient preferences, surgical expertise, and individual factors. The paper also discusses the challenges and advancements in endourology, highlighting the importance of fluid intake and metabolic evaluation for recurrence prevention.This paper provides an overview and comprehensive update on the management of kidney stone disease (KSD) based on evidence-based guidelines from the American Urological Association (AUA) and the European Association of Urologists (EAU). The guidelines cover imaging, treatment options, and medical therapies, with specific advice for patient groups such as children and pregnant women. While both guidelines are generally aligned and evidence-based, minor differences exist in recommendations. The authors recommend regular updates to the guidelines based on new evidence and emphasize that treatment plans should be personalized, considering patient preferences, surgical expertise, and individual factors. The paper also discusses the challenges and advancements in endourology, highlighting the importance of fluid intake and metabolic evaluation for recurrence prevention.