Percutaneous nephrolithotomy(PCNL)has always been the first-line minimally invasive treatment for staghorn kidney stones,with high surgical efficiency and first-stage stone free rate.However,due to the complexity of stones and the difficulty of surgery,serious complications such as postoperative bleeding,infection,and renal function damage often occur.Needle-perc assisted endoscopic surgery(NAES)surgery,also known as needle-perc assisted endoscopic surgery,is an innovative model based on needle-perc proposed by our center.The S+N mode is standard tract PCNL combined with needle-perc,which not only improves the efficiency and stone free rate,but also reduces the number of tracts,effectively protecting renal function and reducing complications.This article reports a case of complete staghorn kidney stones that were completely removed by NAES surgery in one stage,with no complications after surgery and the patient recovering quickly and being discharged from the hospital.