 Supercostal percutaneous nephrolithotomy, PCNL, is a safe and effective approach for treating large kidney stones. It has been shown to reduce the risk of complications such as bleeding, infection, and damage to surrounding tissues compared to other approaches. Additionally, it allows for more accurate targeting of the stone, which leads to better stone clearance rates. This article was authored by Ali Haider and Syed Mamoun Mamoud.