This study evaluated percutaneous nephrolithotomy (PCNL) using a modified supine position for treating staghorn stones. The study included 37 patients with staghorn stones who underwent PCNL. Using a flank-free modified supine position, the mean operative time was 110.7 minutes. A single tract was used in 32 patients (86.4%), while 5 patients (13.5%) required a second tract. At 24 hours post-op, 24 patients (64.8%) were stone-free, and by discharge 29 patients (78.3%) were stone-free. The mean hemoglobin and transfusion rates showed the procedure was well-tolerated. The study concluded the flank-