Low-intensity Shockwaves are today a strong therapeutic tool in the hands of Urologists as well. But what are Shock Waves? Do they differ from those used for lithotripsy? The Shockwave therapy has already been introduced in the guidelines for the treatment of erectile dysfunction as a first line treatment. Its contribution to the treatment of chronic non-bacterial prostatitis and pelvic pain seems to be significant. How should Shock Waves be used? Practical tips deriving from the so far experience.