Once the diagnosis of a salivary stone has been made, this should be removed as soon as possible and not just when infection occurs. Only a few years ago, 70 to 80% of those affected had to undergo surgery, whereby the entire submandibular gland was removed from an incision made in submandibular region. Many patients then suffered from a dry mouth and an altered oral environment, one effect of which was to promote tooth decay. The new endoscopic treatment methods now mean that this surgery can, in most cases, be avoided.