Before the surgery, the patient enters the operating room where the doctor administers anesthesia to ensure that the patient will not feel any pain during the procedure. Once the anesthesia takes effect, the patient is positioned in the lithotomy position. The surgeon then sterilizes the surgical area and inserts a ureteroscope through the urethra into the bladder. Once the bladder stones are identified with the help of a monitor, the patient does not feel any discomfort, and the doctor uses a Holmium laser fiber to directly break up the stones in the bladder.