This document provides information about retrocaval ureter, including its etiology, diagnosis, and management. Retrocaval ureter is a rare congenital anomaly where the ureter passes behind the inferior vena cava. It occurs due to persistence of the subcardinal veins during embryonic development. Clinical presentations include flank pain, hematuria, urinary tract infections, and urolithiasis. Diagnosis involves imaging tests like intravenous urogram, CT urography, and renography. Surgical management includes open or laparoscopic pyeloplasty to reposition the ureter anterior to the inferior vena cava. Preserving the retrocaval ureter segment may be