Abstract: Objective: To sum up the experience in nursing and cooperation in pneumatic lithotripsy under ureteroscope for treatment of lower ureteral calculi.Methods: The clinical data of 15 cases undergoing ballistic lithoclasty under ureteroscope for lower ureteral calculi were reviewed retrospectively.Results: Among the 15 cases,14 cases were removed of the stone by ballistic lithoclasty under ureteroscope.The success rate was 93.33%.Double J stents were routinely detained in all the cases after the operation.All the cases presented different degrees of hematuria,and 2 cases demonstrated nephric angina which was relieved after conservative therapy.All the patients recovered and were discharged.Conclusions: The ballistic lithoclasty under ureteroscope is effective for treatment of lower ureteral calculi.Operating-room nurses should know the process of ureteroscopic ballistic lithoclasty and property of the apparatus.It is necessary for the operating room nurses to collaborate with the surgeon in the operation.Preoperative preparation and mental nursing are also essential for successful operation.