• Patient self-reported history of nephrolithiasis

• Subjective history suggesting that current presentation is similar to past presentations of nephrolithiasis (character, quality, location, intensity of pain; previous surgical intervention or lithotripsy)

• Patients with self-reported moderate to severe pain on the visual pain scale determined as greater than 5/10

• Normal vital signs (afebrile)

• Agreeable to informed consent as dictated by IRB and local practice

• No contraindications to standard therapy (ie fluids, NSAIDs, opioids, etc.)

• Compliance with the virtual reality treatment

• Keeps the headset on for the duration of the experience

• Understands the instructions