Nephrolithiasis management within an ectopic kidney presents a challenge to the urologists. Several treatment modalities are possible in this group of patients. Although percutaneous nephrolithotomy (PCNL) is an accepted treatment modality in anatomically normal kidneys, ectopic pelvic kidneys require a different and more complicated approach for PNL. We report the case of a 19 years old female patient with pain in right flank whose tests showed a right pelvic kidney with a 18 mm stone in the renal pelvis. We describe the successful management by percutaneous nephrolithotomy (PCNL) in ectopic pelvic kidney via Anterior approach with Laparoscopic assistance, stressing that this method is a minimally invasive therapeutic option in such cases.