Aim and background: Sialolithiasis is a condition marked by the formation of calculi, or stones, within the salivary glands. Traditional management of obstructive salivary disorders has transitioned to minimally invasive, gland-preserving techniques.This narrative review compares the efficacy, safety, and outcomes of ESWL and sialoendoscopy in managing sialolithiasis. Methods: Literature search conducted in major medical databases including PubMed, Embase, and Cochrane Library. Studies comparing ESWL and sialoendoscopy in terms of success rates, complications, recurrence rates, and patient satisfaction were included. Results: Extracorporeal sialolithotripsy is a non-invasive procedure utilizing shock waves to fragment stones, often requiring multiple sessions. It has minimal complications, higher potential for damage of the gland and lower success rates in cases of larger stones. In Sialoendoscopy, there is direct visualization and retrieval of stone through endoscope thereby allowing for real-time monitoring and precise intervention. It has higher success rates, even in larger stones along with minimal complications, but the risk of duct injury is higher in this technique as compared to sialolithotripsy.