The aim of this study was to describe and analyze the characteristics of pediatric lower urinary tract stones in Saiful Anwar Hospital Malang. Data for 114 pediatric urolithiasis patients treated between January 2004 and December 2015 were retrospectively collected; 71.1% of cases involved pediatric lower urinary tract stones, which were specified into 68.4% bladder stones and 2.6% urethral stones. The data were then described and analyzed based on demographic characteristics, body mass index (BMI), stone diameter, management, length of hospitalization and stone analysis results. Pediatric stones accounted for 2.2% of all stone disease in Saiful Anwar Hospital (incidence 1.1 per 1000 pediatric cases/year). Males were predominant in every age group except in the first 5 years of life. Most patients had sought medical attention due to uncomfortable voiding (39.5%). Mean BMI was 18.7 ± 3.5 kg/m². Mean stone size was 29 ± 22 mm. Most bladder stones were treated by open vesicolithotomy (70.4%) instead of percutaneous vesicolithotripsy (25.9%). Urethral stones were treated by posterior lubrication, and treatment was continued by percutaneous vesicolithotripsy in two patients/2.5% (one patient/1.2% by anterior lubrication). Length of hospitalization for open vesicolithotomy was 8 ± 3 days, which was significantly longer than that for percutaneous vesicolithotripsy (5 ± 2.3 days). Three (13%) vesicolithotripsy patients needed secondary treatment (vesicolithotomy). The most common stone constituent was calcium oxalate (35.8%). Pediatric lower urinary tract stones in Saiful Anwar Hospital were reported predominantly in males, with a peak rate in early and middle childhood. Percutaneous vesicolithotripsy offers a shorter hospital stay than open vesicolithotomy.