The investigation was undertaken to study a relationship be-tween some biogeochemical and environmental factors and nephro-lithiasis morbidity rates in the regions of Tajikistan. The paper presents the d3ta of an integrated examination in-volving biochemical, chromatographic, and mass-spectrometric studies of 1180 patients aged 14 to 76 years who have been treated at the Dushanbe Urology Medical Center. The investigation established a relationship of an increase in ICD morbidity in poor environmental regions of the Republic of Tajikistan to the high organic and non-organic pollution, the high natural mineralization and hardness of water, and the elevated lev-els of chlorides, sulfates, and other salt components, which in turn influences the severity of a pathological process.