Background: Kidney stone disease a crystal concretion formed usually within the kidneys. It is an increasing urological disorder of human health, affecting about 12% of world population. The aetiology of kidney stone is multi factorial Kidney stones are divided into 4 types calcium oxalate stones, struvite stones, Uric acid stones, Cystine stones. The formation of kidney stone is Multi factorial including age, sex hereditary, geographic climate, and dietary factors. Aim of the Study: To know the aetiology and clinical features of kidney stones in a rural medical college hospital. Materials and Methods: This study has been conducted for 8 months from Jan 2022 to August 2022 in Gowridevi Medical College in the department of General Surgery. We have examined 230 patients out of these 230, Males were 95, Females patients were 81, and children were 54. Results: We have included total no. of 230 patients in this study out of these 230 Male patients were 95, female patients were 81 and children were 43. The common age group involved in adults is between 20 years to 70 years. Conclusion: Despite considerable improvements in the development of new therapies for the management of urinary stones, the incidence of urolithiasis is increasing worldwide. Many aspects of renal stone formation remain unclear. However, it is certain that renal cell injury, crystal retention, cell apoptosis, Randall’s plaque, and associated stone inhibitors or promoters play important roles for kidney stone formation. These seem to be critical targets that lead to developing a novel strategy to prevent kidney stone disease and drugs against kidney stones.