Management of canine and feline ureteral obstructions and urinary incontinence can be both controversial and frustrating. There has been a movement toward minimally invasive procedures, which in certain cases, can be used to both confirm the diagnosis as well as treat the condition. This chapter focuses on the advancements in urologic surgery associated with ureteral obstruction and urinary incontinence with primary focus on ureteral stenting, subcutaneous ureteral bypass systems, transurethral bulking agents, and hydraulic occluders.