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observation is a non-surgical approach in which we allow the stone to pass on its own the smaller the stone the better the chance that it will pass the benefit of observation is that you avoid having surgery the risks of observation are that the stone could grow or move or it could cause a blockage which may be painful and on rare occasions could lead to kidney damage the chance that the stone will grow or move is 70 over 4 years if the kidney stone passes without treatment you may have a certain amount of pain and discomfort this can be reduced with medication you may also have nausea vomiting and have blood in your urine if you are currently symptom free the chance of developing symptoms is one in 10 or about 10 percent per year if the kidney stone does not pass and symptoms develop or worsen your doctor will recommend surgery the surgical options for the treatment of kidney stones are shock wave lithotripsy ureteroscopy and percutaneous nephrolithotomy your doctor will discuss these