Surgical approaches to the urinary tract and kidneys have seen dramatic refinement through minimally invasive access and organ-preserving techniques. Urological and renal surgery now integrates endoscopic, laparoscopic, and robotic tools to manage conditions ranging from nephrolithiasis to renal malignancies with improved precision. Nephron-sparing surgeries and partial nephrectomies are increasingly favored over radical procedures, reflecting the shift toward preserving renal function. Innovations in laser lithotripsy and flexible ureteroscopy have reduced the need for open stone surgeries. For complex urological cancers, robotic-assisted prostatectomies and cystectomies allow better control of margins and functional outcomes. The intersection of surgical skill, advanced imaging, and intraoperative navigation has elevated standards of care, emphasizing minimal morbidity and long-term quality of life for patients undergoing renal or urologic interventions.