Background: Obstructive uropathy with associated urosepsis present a dilemma in regional centers lacking a full-time urology service. An emergency double J ureteric stent insertion can sometimes be lifesaving. At Mackay Base Hospital, we have visiting urologists (Northen Urology, Cairns) cover during weekdays, however general surgeons often perform emergency ureteric stent insertions during weekends or public holidays. The aim of our study is to highlight the importance of being competent in ureteric stenting as regional general surgeons and to showcase that this can be safely performed by either specialty in an emergency setting without the need for transfer to a tertiary center. Methods: We retrospectively analyzed the ureteric stent registry data for emergency ureteric stet insertions performed by general surgeons and urologists from 1 January 2022 to 31 August 2023. Results: A total of 136 emergency ureteric stents were inserted during the study period; of which, 111 were undertaken by urologists whereas general surgeons performed 25. There were no significant differences in complications such as ureteric injury, stent irritation, post op UTI, stent migration, failure to stent, return to theatre (19.8% vs 12% p=0.36), nor any significant delays in stent removal (greater than 6 weeks) between the two groups. None of the patients in either group required an inter-hospital transfer. Conclusion: While this study was not powered to make definitive conclusions, it demonstrates that rural general surgeons adequately trained in emergency ureteric stenting can safely perform this life saving procedure locally without the need for transfer to a tertiary centre.