The invention discloses a medical extracorporal shock wave lithotriptor. The medical extracorporal shock wave lithotriptor comprises a base, a standing column is fixedly connected to the base, an operating bed is fixedly installed to the standing column, grooves are formed in the left edge and the right edge of the upper surface of the operating bed respectively, conveying belts are arranged in the grooves, vertical rods are fixedly connected to the conveying belts, air sacs are fixedly connected to the vertical rods, ventilating grooves are formed inside the vertical rods, and an air pump isfixedly connected to the ventilating grooves; a machine box is fixedly connected to the base, a rotating disc is arranged on the side, opposite to the operating bed, of the machine box, an X-directionmechanical arm and a Y-direction mechanical arm are fixedly connected to the rotating disc, and shock wave focusers are installed at the tail end of the X-direction mechanical arm and the tail end ofthe Y-direction mechanical arm. As the multiple adjustable air sacs are arranged, the posture and the position of a patient are fixed, the flexible body position when the patient is operated is achieved, and the comfortable degree is improved; as the two mutually-perpendicular shock wave focusers are arranged, the lithotripsy efficiency is improved through the rocky anisotropy.