For millennia, removal of uroliths has been the province of the surgeon. Ho
wever, a paradigm shift in management of canine uroliths occurred beginning
in 1973. Translating the science associated with medical dissolution of ca
nine uroliths into a form that would serve companion animals involved the i
nterdependent knowledge, skills, and desire of many individuals. By practic
ing the principles of being proactive, defining clear objectives, agreeing
how to accomplish these objectives, and empathetically listening to each ot
hers ideas and concerns, the surgical removal of uroliths will one day beco
me a subject of historic interest.