Subcapsular renal hematoma  is well known complication associated with  extracorporeal shockwave lithotripsy (ESWL) and percutaneous nephrolithotomy (PCNL) but after ureteroscopic lithotripsy (URSL) it rarly occurs. We reviewed our center’s experience of post–URSL perinephric hematoma from 2012 to 2018.  872  URSLs using 7.5/9 F  rigid ureteroscopes were performed.Documented operative information, postoperative presentation of symptoms, changes in blood parameters,  USG  findings, and subsequent management of complications were reviewed. Associated perioperative information on patient’s preoperative morbidity, renal function, stone characteristics, and degree of hydroureteronephrosis were noted. Post–URSL subcapsular hematoma was diagnosed in 3 of 872 (0.34%) patients in which two  managed by ultrasonography–guided percutaneous aspiration and one by conservatively. A strong suspicion is needed for a rare complication when patients present with significant loin pain and feverafter URSL. The management of post–URSL subcapsular hematomas needs to be customized for each patient with conservative approach  even reveals a good outcome.