Purpose of review: We reviewed the latest guidelines on urolithiasis to highlight the commonalities and differences in the most important recommendations. Recent findings: Most guidelines utilize systematic review of literature and grade evidence to generate the appropriate recommendations and statements. Only the latest versions of guidelines were included in this review. Summary: Four national and international guidelines were included in this review, including those of the EAU (European Association of Urology), the AUA (American Urological Association)/ES (Endourological Society), the UAA (Urological Association of Asia) and the NICE (National Institute for Health and Care Excellence) guidelines. There are general similarities in the most important recommendations. The EAU guidelines provide the latest evidence updates.